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' F. A-Tank Gauging / SIR Et*ment: Ud Check this box if t auging is used only for inventory control. <br /> El Check this box if no ank 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 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 /> 96 Yes ❑ Pio* 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): ❑ 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 /> ❑ NIA (Check all that apply) Simulated leak rate: 01 g.p.h.; O 0.1 g.p.h ; ❑ 0.2 g.p.h. <br /> Yes ❑ No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> Ed Yes ❑ nd N ' Was the testing apparatus properly calibrated? <br /> Yes OINO For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> _)� 61 NIA <br /> Ed Yes ❑ No* For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> ❑ N/A <br /> ff'Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> O N/A . or disconnected? <br /> Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system <br /> ❑ N/A malfunctions or fails a test? <br /> Ld Yes ❑ No* For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> ❑ NIA <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 /> H. Comments: ZAD �),. ;LNCV- <br /> �y� L <br /> Page 3 of 3 03101 <br /> i <br />