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M. Check this box if tank gauging is used Only for irlVC11tOry control. <br /> 0 <br /> U Check this box if no tank gauging or SIR equipment is installed. <br /> This section must be completed if in-tank gauging equipment is used to perform leak,detection monitoring. <br /> Complete the followin ry checklist- <br /> U Yes U No* I Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br /> testing ground Olaults? <br /> sting <br /> U Yes Q No* Were all tank gauging probes visually inspected for damage e buildup? <br /> tank <br /> 0* cc <br /> U Yes Q No* Was accuracy of system product level readings tested? <br /> U Yes LJ No* Was accuracy of system water level readings tested? <br /> ' i <br /> Ll Yes Ll No* <br /> Were all probes reinstalled properly? <br /> all <br /> it, <br /> -re a items <br /> on the,equip, <br /> r <br /> U Yes I U We 11 items on the equipment manufacturer's maintenance checklist completed? <br /> In the Section H,below,describe how and when these deficiencies were or will be corrected, <br /> G. Line Leak Detectors (LLD): 0 Check this box if LLDs are not installed. <br /> Complete the follo ing checklist: <br /> 12 Yes 13 No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br /> 0 N/A No* <br /> all that apply) Simulated leak rate: 3 g.p.h.; E3 0.1 g.p.h; U 0.2 g.p.h. <br /> 'el Yes 1317No* Were all LLDs confirmed d operational and accurate within regulatory requirements? <br /> 13 Yes 0 No* Was the testing apparatus properly calibrated?- <br /> 0 Yes Ll No* For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> U N/A I <br /> 0 Yes Q No* For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> 0 N/A <br /> E3 Yes L3 No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> 69 N/A or disconnected? <br /> Q Yes 0 No* For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions <br /> 0 NIA or fails a test? <br /> Ll Yes 13 No*' For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> 19 N/A <br /> 0 Yes U No* Were all items on the equipment 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 /> Page 3 of 3 03/01 <br />