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F. In Tank Gauging 1 SIR Equipm ❑Check this box if tank gauused only for inventory control. <br /> ❑Check this box if no tank gng 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 /> ❑Yes ❑No* Has all input wiring been inspected for proper entry and termination,including testing for ground faults? <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 the Section H,below,describe how and when these deficiencies were or will be corrected. <br /> G. Line Leak Detectors (LLD): px Check this box if LLDs are not installed. <br /> Complete the following checklist: <br /> ❑Yes ❑No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br /> ❑N/A (Check all that apply) Simulated leak rate: ❑ 3 g.p.h.; ❑ 0.1 g.p.h ; ❑ 0.2 g.p.h. <br /> ❑Yes ❑No* Were all LLDs 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 /> ❑NIA <br /> ❑Yes ❑No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> ❑NIA or disconnected? <br /> ❑Yes ❑No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions <br /> NIA or fails a test? <br /> ❑Yes ❑No* For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> ❑N/A <br /> ❑ Yes ❑No* I 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: None. <br /> Page 3 of 3 03/01 <br /> Girnnlaman#car%, noon tPoni,aafarl hw Trionnlckl <br />