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In-Tank C ugin /SIR <br /> � #'5pnc��; <br /> Q Check this box if task gauging is <br /> sed only fo <br /> ❑ Check this box if no tank gauging t S1R equipment m fltOinstalled.control- <br /> This section must be completed if in-tank gauging equipment ' used to perform leak detection Com fete the followin checklist: tion monitoring. <br /> ❑ Yes Cl No* Has all input wiring been inspected for proper en <br /> ❑ Yes Li No* Were all tank au m try and termination, including testing for ground faults? <br /> g g g 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 L3 NO* Were all probes reinstalled properly? <br /> Yes ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? <br /> Irl the Section H,below,describe how and when these deficiencies were or will be corrected. <br /> G. Line Leak Detectors (LLD): ❑ Check this box if LLDs are not installed. <br /> Com Tete the follawin checklist: <br /> Yes ❑ No* For equipment start-up or annual equipment certification, was a leak simulated <br /> LLD performance? <br /> L, NIA <br /> (Check all that apply) Simulated leak rate: 3 g.p.h.; L) O.l to verify <br /> g.p.h; ❑0.2 g.p.h. <br /> -q Yes ❑ No* Were all LLD'confirmed operational and accurate within regulatory requirements? <br /> Yes ❑ No* Was the testing apparatus properly calibrated? <br /> Yes ❑ No* For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> NIA <br /> ❑ Yes ❑ No* For electronic LLDs,does the turbine automatically shut off if the LLD,detects a leak? <br /> U-NIA <br /> ❑ Yes ❑ Noy` For electronic LLDs, does the turbine automatically shut off if an <br /> 14 N/A or disconnected? y portion of the monitoring system is disabled <br /> Yes ❑ No* For electronic LLDs, does the turbine automaticall shut off ifan <br /> '. NIA or fails a test? �' Y p©rtlon of the moru rin <br /> C] Yes ElNo* For electronic LLDs,have all accessible wiring g system malfunctions <br /> U N/A uing connections been visually inspected? <br /> es ❑ 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 /> H. Comments: <br /> Page 3 of 3 <br /> 03/01 <br />