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i <br /> F. In-Tank Guuginl; /Slit Equipillellf: 14 Check Idris box if tank ganging is used only for inventory control. <br /> U Check this box if ni taiik gauging or SIR equipment is installed. <br /> This sectiotl must lie contPleted it M-lankgatigiiig cclttiPtilent is used to lierform leak detection monitoring. <br /> Complete the following checklist: <br /> LU * Has all input wiring been inspected for proper entry and terminalion, including testing for ground faults? <br /> * Were all lank gauging probes visually inspecleid for dnninge and residue buildup? <br /> Was accuracy of system product level readings tested?Was accuracy of system water level readings tested'?Were all probes reinstalled properly?Were all items on the equipnrcnt manufacturer's maintenance checklist completed? <br /> *In (lie Section H,below,describe low and when these deficiencies were or will be corrected. <br /> G. Line Leak Delecto�rs U ( lit-A this box if l,VDS are nal inctallcii. <br /> Complete the following checklist: _ <br /> LOYes <br /> No* For equipment start-up or ntrnuaI cgitipirrent certification, was a leak simulated to verify LLD performance? <br /> ❑ NIA (Check all that apply) Sirrinlated leak rate 3 g.p.h.; d7 tl.I g.p.h ; ❑ ©•�R-p.h. <br /> No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> ❑ No* Was the testing apparatus properly calibrated'? <br /> Q Yes No* For mechanical LLOS, sloes the I.I.17 restrict product flow if it detects a leak? <br /> ❑ wA <br /> ❑ Yes ❑—No* For electronic LI,Ds,does the tiiibitre autonratically shut off if the LLD detects a Leak? <br /> -d( N/A <br /> C) Yes ❑ No* For electronic LLDs, docs Ilre turbine automatically shirt off if arty portion of the monitoring system is disabled <br /> NIA or disconnected? <br /> s, does the hirbine automatically shut off if any portion of the monitoring system <br /> ❑ Yes E3 No* For electronic I,Lp <br /> N/A malfunctions or fails a test? <br /> ❑ Yes ❑ No* For electronic LLI7s, have all accessible wiring connections been visually inspected? <br /> N/A --- <br /> es ❑ No* Were all dents otr the equilniicnt nianulaclurcr's maintenance clrecklisl coinpleted7 <br /> *In the Section 11,below, describe how and when Illese deficiencies were or will be corrected. <br /> H. Comments: <br /> Page 3 of 3 03ro1 <br />