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F. In-Tank Gauging/SIR Equiont: Z_'Check this box if tankwing is used only for inventory control. <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 folio ing checklist: <br /> U Yes U No* Has all input wiring been inspected for proper entry and termination,including testing for ground faults? <br /> LJ Yes U No* Were all tank gauging probes visually inspected for damage and residue buildup? <br /> U Yes LJ No* Was accuracy of system product level readings tested? <br /> U Yes U No* Was accuracy of system water level readings tested? <br /> Ll Yes I Ll No* Were all probes reinstalled properly? <br /> Ll Yes <br /> U Ko* F 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 /> G. Line Leak Detectors (LLD): U Check this box if LLDs are not installed. <br /> Cquiplete the folio ing checklist: <br /> Yes Ll No* For equipment start-up or annual equipment erti ication, was a leak simulated to verify LLD performance? <br /> e LJ N/A (Check all that apply) Simulated leak rate:73 g.p.h.; L] 0.1 g.p.h; Ll 0.2 g.p.h. <br /> U Yes Q1 No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> Yes U No* Was the testing apparatus properly calibrated? <br /> a EA Yes Ll No* For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> Y <br /> U N/A <br /> FLUYes E3 No* For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> N/A <br /> 13 Yes U No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> ig N/A or disconnected? <br /> Ll Yes Ll No* For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions <br /> -5 N/A or fails a test? I <br /> Ll Yes U No* For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> W N/A , <br /> 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. Comm ents: DSL <br /> M <br /> Oct <br /> ON, _S3 <br /> Pace 3 of 3 <br /> 03101 <br />