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F. In-Tank Gauging I SIR Equipment: © Check this box if tank gauging is used only for inventory control. <br /> w ❑ Check this box if no tank gauging or SIR equipment is installed. <br /> This section mist be completed if in-tank gauging equipment is used to perform leak- detection monitoring. <br /> Conwiete the following check-list: <br /> U No* Has all input wiring been inspected for proper entry and termination,including testing for ground faults": 9; <br /> Yes 7 NO I Were all tank gauging probes visually inspected for damage and residue buildup? <br /> Yes + ❑ Ivo* Was accuracy of system product level readings tested? <br /> es Q No* Was accuracy of system water level readings tested? <br /> Ef/yes 0 No* Were all probes reinstalled properly? <br /> Rf I <br /> Yes 0 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 wail!be corrected. <br /> G. Line Leak Detectors (LLD): ❑ Check this box if LLDs are not installed. <br /> Com to the following checklist: <br /> 2` es ❑ NO* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD perforrnance? <br /> ❑ N/A (Check-all that apply) Simulated leak rate: M—S.h.; Q 0.1 g.p.h; ❑0.2 g-pdt. <br /> Y ❑ No* I Were all LLDs conffined operational and accurate within regulatory requirements? <br /> Yes © No* Was the testing apparatus propezly calibrated? <br /> Yes ❑ No* For.mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> © N/A <br /> Q Yes © No* For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> M N_/A <br /> ❑ Yes O No* ' For electronic LLDs, does the turbine automatically shut off if any portion of the moniuning system is disabled <br /> C']N A or disconnected? <br /> ❑ Yes ❑ No* For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions <br /> si3 NIA or fails a test? <br /> 0 Yes El Nom* For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> 2 NIA <br /> es ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? <br /> *In the Section K below,describe how and when these deficiencies were or will be corrected. <br /> H. Comments- <br /> Page 3 of 3 rs3�o1 <br /> k <br />