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F. In-Tank Gatiging /Sl R 1?gllil"11e111: U ('lieck this box if tank ganging is used only for inventory control. <br /> A)�( 'heck this hnx if no lank gauging or SIR equipment is installed. <br /> This section must be completed if ill-lank gailgittg e(luilmtcttt is used to perf«rni leak detection monitoring. <br /> Complete the following cliecklist: <br /> EW <br /> * Has Eiji input wiring been irispecied for proper entry and let-Mination, including testing for ground faults? <br /> Were all tank gauging probes visually inspected for damnge and residue htlilclup? <br /> Was accuracy of systole,piodliCt icvcl ran(1inls tested? --- — <br /> Was accuracy of system water level readings tested? <br /> Were all probes reinstalled properly'? <br /> 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~vitt be corrected. <br /> G. Line Leak Detectors (LLU): U ( 'lit-A this hox il'l JPs are not itistalleci. <br /> Complete the tollnwing checklist: <br /> Yes Q No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br /> ❑ NIA (Cheek all that apply) Simulated leak rate: ❑ 3 g.p.h.; ❑ 0.1 g.p.h ; ❑ 0.2 g.p.h. <br /> Yes El No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> Y <br /> LJ No* Was the testing apparatus properly calibrated? <br /> Yes ❑ No* For mechanical LLDs, does the LID restrict product flow if it detects a leak? <br /> ❑ NIA _ <br /> ❑ Yes ❑ No* For electronic LLDs,does the luibine automatically shut off if the LLD detects a leak? <br /> NIA <br /> ❑ Yes ❑ No* For electronic LLDs, does the turhine automatically shut off if any portion of the monitoring system is disabled <br /> Jl ( NIA or disconnected? <br /> ❑ Yes D No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system <br /> NIA malfunctions or fails a lc.-;I? <br /> ❑ Yes ❑ No* For electronic LLDs, have all arc cssihle wiring connections been visually inspected? <br /> Lk NIA <br /> Yes ❑ No* Were all items on the egtiilrnierrl manufacturer's maintenance checklist completed? <br /> "In the Section H, below, describe bow and wile" these deficiencies were or will be corrected. <br /> R. Comments; - - - --=------- <br /> Page 3 of 3 03101 <br />