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F. In -Tank Gauging / SIR Lqu* -e-Clieck this box if g tank au ging is used only for inventory control. <br />g" <br />LJCheck this box if no tank gauging or SIR equipment is installed. <br />This section must be completed if in -tank gaining equipment is used to perform leak detection monitoring <br />Complete the following checklist: <br />❑ Yes ❑ No*tHaall input wiring been inspected for proper entry and termination, including testing for ground faults? <br />❑ Yes ❑ No*e all tank gauging probes visually inspected for damage and residue buildup? <br />❑ Yes ❑ No* accuracy of system product level readings tested? <br />❑ Yes ❑ No* Was accuracy of system water level readings tested? <br />❑ Yes ❑ No* Were all probes reinstalled properly? <br />❑ Yes ❑ 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 />G. Line Leath Detectors (LLD): ❑ Check this box if LLDs are not installed. <br />m lets the following checklist: <br />Yes ❑ No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br />❑ N/A (Check all that apply) Simulated leak rate: ❑ 3 g.p.h.; ❑ 0.1 g.p.h ; ❑ 0.2 g.p.h. <br />Yes <br />❑ No* <br />Yes <br />V❑ <br />13 No* <br />Yes <br />No* <br />❑ N/A <br />❑ Yes <br />❑ No* <br />I PK N/A <br />❑ Yes <br />❑ No* <br />' N/A <br />❑ Yes <br />❑ No* <br />' N/A <br />❑ Yes <br />❑ No* <br />M_ N/A <br />Were all LLDs confirmed operational and accurate within regulatory requirements? <br />Was the testing apparatus properly calibrated? <br />For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br />For electronic LLDs, does the turbine automatically shut off if the LLD.detects a leak? <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled <br />or disconnected? AF <br />For electronic LLDs, does the turbine automatically shut Off if any portion of the monitoring system malfunctions <br />or fails a test? <br />For electronic LLDs, have all accessible wiring connections been visually inspected? <br />W. ❑ No* I 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 <br />o3/Ol <br />