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[]Check this box if tank gauging is usonly for inventory control. 49 <br /> ®Check this box if no tank gauging or SIR equipment is installed and disregard the following section. <br /> (This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring). <br /> Com lete 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 /> El Yes [} No* Was accuracy of system product level readings tested'? <br /> E ❑ No* Was accuracy of system water level readings tested'?❑ No* Were all probes reinstalled properly? <br /> ❑ 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): <br /> Check this box if LLDs are not installed and disregard the following section. <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: ❑ 3 g.p.h.; ❑ 0.1 g.p.h ; [10.2 g.p.h. <br /> ❑Yes ❑ ivo* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> ❑Yes ❑ No* Was the testing apparatus properly calibrated? <br /> [�Yes ❑ No* For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> ❑ N/A <br /> 0 Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br /> 0 N/A <br /> ❑Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> [`] N/A or disconnected'? <br /> ❑ Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system <br /> ❑ NIA malfunctions or fails a test? <br /> G Yes ❑ No* For electronic LLDs,have all accessible wiring; connections been visually inspected? <br /> ❑ N/A <br /> ❑ Yes j ❑ 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: The "Jack Koffelt Straight Up" safe suction system is self monitoring and testable <br /> only with an overfill tank test. <br />