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` F. lb -Tank Gauging / SIR Equ* Check this box if tank gauging is used only for inventory contr,l. <br />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 fol;vvin checklist: <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 />❑ Yes ❑ No* Was accuracy of system water level readings tested? <br />❑ Yes ❑ No* Were all probes reinstalled properly? <br />❑ Yes E3No* Were all items on the equipment manufacturer's maintenance checklist completed? <br />* <br />In the Seetion M_ hPlaw aA.—h® h...., ..A ,.16 4-e. <br />-1 r, ul wum ue currecteu. <br />G. Line Leak Detectors (LLD): ❑ Check this box if LLDs are not installed. <br />Complete the following checklist: <br />Yes <br />No* <br />For equipment start-up or annual equipmen certification, was a leak simulated to verify LLD performance? <br />❑ N/A <br />(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 />Were all LLDs confirmed operational and accurate within regulatory requirements? <br />Yes <br />❑ No* <br />Was the testing apparatus properly calibrated? <br />Yes <br />❑ No* <br />For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br />❑ N/A <br />❑ Yes <br />❑ No* <br />For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br />N/A <br />❑ Yes <br />❑ No* <br />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 />❑ Yes <br />❑ No* <br />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 />9 No* <br />For electronic LLDs, have all accessible wiring connections been visually inspected? <br />N/A <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />Yes <br />❑ No* <br />*7 in +h. Q—+..n <br />TJ <br />6.e1..... .2_--_29-_ ._ - I . . .• . — . _ _... <br />..V9..aacu .Vue.. LIMW u-1caenc►es were or wtu be corrected. <br />H. Comments: 21 f e G46 <br />- % ETA <br />Page 3 of 3 03/01 <br />