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, F. In -Tank Gauging / SIR Equi- ment: <br />D Check this box if tan0. <br />k gauging is used only for inventory control. <br />❑ Check this box if no tank gauging or Slit equipment is installed. <br />This section must be completed if in -tank gauging equipment is used to perform leak detection monitoring. <br />Co to the following checklist: <br />❑ No* <br />Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br />❑ No* <br />Were all tank gauging probes visually inspected for damage and residue buildup? <br />es ❑ No* <br />Was accuracy of system product level readings tested? <br />Effes, ❑ No* <br />Was accuracy of system water level readings tested? <br />es 13No* <br />Were all probes reinstalled properly? <br />Yes ❑ No* <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />in the Section K below, describe how and when these deficiencies were or will be corrected. <br />G. Line Leak Detectors (LLD): <br />Con,Mlete the following checklist: <br />❑ Check this box if LLDs are not installed. <br />Yes <br />❑ No* <br />❑ NIA <br />For equipment start-up or annual equipmentmortification, was a leak simulated to verify LLD performance? <br />(Check all that apply) Simulated leak rate: 13 3 g.p.h.; ❑ 0.1 g.p.h ; 0 4.2 g.p.h. <br />❑ No* <br />Were all LLDs confirmed operational and accurate within regulatory requirements? <br />s <br />❑ No* <br />Was the testing apparatus properly calibrated? <br />Yes <br />❑ No* <br />❑ NIA <br />For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br />❑ Yes <br />D Did* <br />N/A <br />For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br />❑ Yes <br />❑�Qo* <br />m' N/A <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled <br />or disconnected? <br />D Yes <br />❑ moo* <br />G]' N/A <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions <br />or fails a test? <br />❑ Yes <br />❑ <br />Ga' N/A <br />For electronic LLDs, have all accessible wiring connections been visually inspected? <br />Yes <br />O No* <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />* to the Section H, below, describe how and when these deficiencies were or will be corrected. <br />H. Comments: <br />Page 3 of 3 <br />03/01 <br />