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R[[tTapk Gaugi^9/SIR Equipment: r— <br /> Check this box If tank gauging Is used only for inventory control. <br /> r Check this box If no tank gauging or SIR equlpment Is installed. <br /> This section must be completed If in-tank gauging equipment is used to perform leak detection monitoring. <br /> Complete the following checklist: <br /> proper entry and termination,including testing for ground fauhs? <br /> IT Yes r No' as all input willing been Inspected for <br /> r Yes r No' ere all tank gauging probes visually inspected for damage and residue buildupf <br /> It yes r No' as accuracy of system product level readings tested? <br /> (: yg IF No' as accuracy of system water level readings tested? <br /> r yesi r No' ere all probes reinstalled properly? <br /> r Yes r No' ere 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): r Check this box If LLDs are not installed. <br /> Complete the following checklist: <br /> G Yes <' No, or equipment start-up or annual equipment cemncation was a leak simulated w verify LLD performance?(Check all that <br /> apply)Simulated leak rate:r 3 g.p.h.; r 0.1 9-P III r-; 0.2 g.p.h. <br /> (- N/A <br /> IT yes f No' ere all LLDs confirmed operational and accurate within regulatory requirements? <br /> r yes r No' as the testing apparatus property calibrated? <br /> r yes r No' or mechanical LLDs,does the LLD restrict product now it it detects a leak? <br /> r N/A <br /> (.. Yes r No, or electronic LLDS,does the turbine automaticaliy shut off if the LLD detects a leak? <br /> r N/A <br /> • Yes r No' r eleLtronic LLDs,does the turbine au[oma[i(ally shut off If any portion of the mon2oring system is disabled or disconnected? <br /> r N/A <br /> r Yes r No' or electronic LLDS,does the turbine automatically shut off if any portion of the monimnng system malfunctions or fails a test? <br /> r N/A <br /> • yes r No' or electronic LLDS,have all accessible wiring connections been visually inspected? <br /> r N/A <br /> r yes r No' ere all items on the equipment manufacturer's maintenance checklist completed? <br /> 'In the Section H,01 describe how and when these deficiencies were or will be corrected. <br /> H. Comment <br /> Page 3 of 3 12/07 <br />