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Feb 0510 03:07p AFFORDA TEST 2094-0116 • p.4 F. In -Tank G uging ) SIR Equipment: ® Check this box if tanx gauging is used only for Inventory conlrei. ❑ Check this Sox if no tank gauging or SIR equ pment is irslallec. This section mu t be completed if in -tank gauging equipment is used to perform leak detection monitoring. Complete the f (lowing checklist: ❑ Yes ] No' Has all nput wiring been inspected for proper entry and termination, including testing for ground fauls? ❑ Yes ❑ No' Were all lark gauging probes visually inspected for damage and residue bgildup? ❑ Yes ❑ Not Was accuracy of system product level readings tested? ❑ Yes ❑ No' Was accuracy of system water level readings tested? ❑ Yes E No' Were all probes reinstalled properly? ❑ Yes NW Were at items on the equipment manufacturer's maintenance checklist completed? Section H, below, de ribs how and when (hese deficiencies were or will be corrected. e Leak Detectors (LL ❑ Cneck this box it LLDS are not installed. I lurr race my rvnuwrn _ For equipment startup or annual equipment certification, was a leak simula:ed to verify LLD performance? (Check as that apply) Simulated leak rate: ® 3 g.p h.; ❑ OJ g.p.h : ❑ 0.2 g.p.h, ® Yes❑ No' NIA Were all LLDs confirmed operational and accurate within regulatory requirements? ' ! Was the testing apparatus properly calibrated? ' A' For mechanical LLDs, does the LLD resldct product flow if it detects a leak? IAo' For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? ff' For alectronic LLDs, does the turbine automatcally shut oi'if any portion of the monitoring system s disabled or disconnected?/Ao' Ao' For eledronio LDs. does the turbine automatically shut off If any portion of the rron•tor ng system malruncuors or tails a test? !Ao' For electronic LLDs, have all accessible Wring connections been visualy inspected? Were all items on the equipment manuracfurers maintenance checklist completed? n Section H, below, d s<Hbe how and when these deficiencies were or will be corrected. H. comments: