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F. hi-Tank Gauging/SIR Equipment, x 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 roust be completed if in-tank gauging equipment is used to perform Ieak detection monitoring. <br /> Complete the f Alowin checklist: <br /> rn <br /> D Yes ❑ No* Ifas all input wiring been inspected for proper entry and termination,including testing for ground faults? <br /> IR Yes ❑ No* Were all tank gauging probes visually inspected for damage and residue buildup? <br /> 0 Yes ❑ No* Was accuracy of systelri product level readings tested? <br /> D Yes ❑ No' Was accuracy of system water level readings tested? <br /> ❑x Yes ❑ No* Were all probes reinstalled properly? <br /> 1l Yes L1 No* Were all items on the equipment manufacturer's maintenance checklist completed? <br /> ' In the Section H, below,describe how and when these derieiencies were or will be corrected. <br /> G. Line Leak Detectors(LLD): x Check this box if LLDs are not installed. <br /> Com lets the followin checklist: <br /> ❑ Yes ❑ No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br /> U NIA (Check all that apply) Simulated leak rate: ❑ 31?.p.h.; L]0.1 g p.h; ❑ 0.2 g.p.h. <br /> ❑ Yes Q No* Were aJl LLDs confirmed operational and accurate within regulatory requirements? <br /> ❑ Yes J No* Was the testing apparatus properly calibrated? <br /> Cl 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 /> ❑ NIA <br /> ❑ Yes ❑ No* For electronic LLDs. does the turbine automatically shut off if any portion of the monitoring system is disabled or <br /> ❑ N/A disconne,-ted? <br /> ❑ Yes ❑ No* For electronic LLD%, does the turbine automatically shut off if any portion of the monitoring system malfunctions <br /> Ll N/A or fails a test? <br /> ❑ Yes ❑ No* For electronic LCDs, have all accessible wiring connections been visually inspected? <br /> ❑ NIA <br /> ❑ Yes ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? <br /> ' fn the Section H, below,describe how and when these deficiencies were or will be corrected. <br /> H. Comments: <br /> Page 3 of 3 <br /> lY3lp t <br />