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i <br /> F.In-Tank Gauging/SIR Equipment: RECEIVED <br /> Check this box if tank gauging is used only for inventory control. <br /> rCheck this box if no tank gauging or SIR equipment is instaMa 3 1 2014 <br /> This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. ENVIRONMENTAL <br /> Complete the follow in Mist: HEALTH DEPARTmENT <br /> .,._. , �.. <br /> Yes No* Has all input wiring been inspected for proper entry and termination,including testing for ground faults? <br /> Yes No* Were all tank gauging probes visually inspected for damage and residue buildup? <br /> Yes No* Was accuracy of system product level readings tested? <br /> r Yes No* Was accuracy of system water level readings tested? <br /> F Yes F No* Were all probes reinstalled properly? <br /> F Yes F No* Were all items on the equipment manufacturers maintenance checklist completed? 77-_ <br /> *In the Section H,below,describe how andwhen these deficiencies were or will be corrected. <br /> G.Line Leak Detectors(LLD): F Check this box if LLDs are not installed. <br /> Complete the follow in checklist: _ <br /> . a <br /> Yes No* For equipment start-up or annual equipment certification,was a leak simulated to verify LLD performance?(Check <br /> F N/A all that apply) Simulated leak rate: F' 3gp.h.; F 0.1 g.p.h; F 0.2g.p.h. <br /> Yes F No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> Yes No* Was the testing apparatus properly calibrated? <br /> a <br /> Yes F No* Formechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> N/A <br /> Yes F No* Forelectronic LLDs,does the turbine automatically shut offifthe LLDdetects a leak? <br /> N/A <br /> Yes F No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or <br /> N/A disconnected? <br /> * For electronic LLDs,does the turbine automatically � <br /> Yes No atically shut off if any portion of the monitoring system malfunctions or <br /> N/A fai Is a test? <br /> Yes F No* For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> N/A <br /> Yes � No* Were all items on the egwpment manufacturer s maintenance checklist completed? <br /> *In the Section H,below,describe how and when these deficiencies were or will be corrected. <br /> H. Comments: <br /> Suction System <br />