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0 0 <br />F. In -Tank Gauging / SIR Equipment: Rj Check this box if tank gauging is used only for inventory control. <br />r 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 fallowing checklist. <br />(` Yes <br />No* <br />Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br />(' Yes <br />No* <br />Nere all tank gauging probes visually inspected for damage and residue buildup? <br />(' Yes <br />No* <br />Nas accuracy of system product level readings tested? <br />(' Yes <br />No* <br />Nas accuracy of system water level readings tested? <br />(' Yes <br />No* <br />Pere all probes reinstalled properly? <br />r Yes <br />IrNo* <br />ere all items on the equipment manufactur'er'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 />r Yes <br />( No* <br />For equipment start-up or annual a uipment certification was a leak simulated to verify LLD performance? (Check all that <br />r 1"j0.2 <br />r <br />apply) Simulated leak rater 3 g. o.l g.p.h; g.p.h. <br />N/A <br />N A <br />I.h.; <br />r Yes <br />(' 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 />r No* <br />For mechanical LLDs, does the LLD restrict product Flow if it detects a leak? <br />G N/A <br />r Yes <br />(` No* <br />For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br />(' N/A <br />G 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 />(' N/A <br />monitoring system is disabled or disconnected? <br />r 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 />N/A <br />monitoring system malfunctions or fails a test? <br />re Yes <br />No* <br />For electronic LLDs, have all accessible wiring connections been visually inspected? <br />C N/A <br />Yes <br />r No* <br />Were all items on the equipment manufacturers maintenance checklist completed? <br />* In the Section H, below, describe how and when these deficiencies were or will be corrected, <br />Page 3 of 3 <br />12/07 <br />�_Ei;EIVEC <br />MAR , ^ 2015 <br />ENVIRONMENTAI <br />71 r1' -e A C"x r-• <br />