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0 � RECEIVED <br />F. In -Tank Gauging / SIR Equipment: r Check this box if tank gauging is used only for inventor 7 <br />I Check this box if no tank gauging or SIR equipment is irst�l ! 0 Z Q 15 <br />This section must be completed if in -tank gauging equipment is used to perform leak detection monitoring. ENVIRONMENTAL <br />N IRON CENTAL <br />f��a��� ntanor�Ainl�' <br />Complete the following checklist: <br />Yes f No* Has all Input wiring been inspected for proper entry and termination, including testing for ground faults? <br />t' Yes No* Were all tank gauging probes visually inspected for damage and residue buildup? <br />f— Yes No* Was accuracy of system product level readings tested? <br />r Yes r No* Was accuracy of system water level readings tested? <br />Yes r No* Were all probes reinstalled properly? <br />• Yes 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 />• Yes <br />r No* <br />For equipment start-up or annual equ4pment certification was a leak simulated to verify LLD performance? (Check all that <br />r o.1 1 0.2 <br />N/A <br />apply) Simulated leak rater 3 g.p.h.; g.p.h; g.p.h. <br />G Yes <br />r No* <br />Were all LLDs confirmed operational and accurate within regulatory requirements? <br />(: Yes <br />r 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 />i+ Yes <br />; No* <br />or electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br />N/A <br />G Yes <br />' No* <br />For electronic LLDs that are programmed for positive shut down, does the turbine automatically shut off if any portion of the <br />monitoring system is disabled or disconnected? <br />,, N/A <br />r. Yes <br />r No* <br />For electronic LLDs that are programmed for positive shut down, does the turbine automatically shut off if any portion of the <br />r N/A <br />monitoring system malfunctions or fails a test? <br />GO Yes <br />r No* <br />For electronic LLDs, have ali accessible wiring connections been visually inspected? <br />N/A <br />+ Yes <br />No* <br />ere all items on the equipment manufacturer's maintenance checklist completed? <br />in the 5ecoon n, peiow, uescnoe nvw dnu wiles LP Trac . c .1 <br />Page 3 of 3 12/07 <br />