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0 0 <br /> F. In-Tank Gauging!SIR Equipment; Check this box if tank gauging is used only for inventory control, <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 following checklist: <br /> roper entry and termination,including testing for ground faults? <br /> 1­1 Yes ❑ No' Has all input wiring been inspected for p <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 ❑ No' Were all items on the equipment manufacturer's maintenance checklist completed? <br /> In Section H,below,describe flow and when these deficiencies were or will be corrected. <br /> Line Leak Detectors(LLQ): ❑ Check this box if LLDs are not installed. <br /> Com lete the following checklist: <br /> ® Yes T[3 <br /> No For equipment start-up or;annual equipment certification, was a leak simulated to verify LLD performance? {Check all that apply) <br /> NIA Simulated leak fate: ®3 g.p.h.; ❑0.1 g.p.h ❑0.2 g.o.h. <br /> ® Yes o' Were all LLDs confirmed o stational and accurate within regulatory requlremenis7 <br /> Yes o` Was the testing apparatus properly calibrated? <br /> ® Yes ❑ No` For mechanical LLDs,doe the LLD restrict product flow if it detects a leak? <br /> ❑ N/A <br /> ❑ Yes ❑ No' For electronic LLDs,does he turbine automatically shut off if the LLD detects a leak? <br /> } NIA <br /> ❑ Yes ❑ No" For electronic LLDs,does he turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? <br /> N/A <br /> ❑ Yes ❑ No' For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? <br /> NIA <br /> ❑ Yes ❑ No" For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> ❑ <br /> NIA <br /> Yes ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? <br /> `In Section H,below,describe how and when these deficiencles were or wNl be corrected. <br /> H. Comments: <br /> nnnn un.in� <br /> 2/21/07 <br /> Rvstam Certification <br /> Page 3 of 4 <br />