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F. In -Tank Gauging/ SIR Equipment: <br />Check this box if tank • <br />gauging is used only for inventory control. <br />❑ Check this box if no tank 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 />C lW_azm: <br />t th f <br />llowin checklist: <br />* Has all input wiring been inspected for proper en andtermination, includin testis for* Were all tank au m g g gocnd <br />g g g probes visually inspected for damage and residue buildup? <br />* Was accuracy of system product level readings tested? <br />* Was accuracy of system water level* Were all probes reinstalled r readmgs tested. <br />p operly.* 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 />oro <br />ete the followin checklist: <br />Yes <br />L3 No* <br />For equipment start-up or annual equipment <br />❑ N/A <br />cerification, was a leak simulated to verify LLD performance? <br />(Check all that apply) Sinaubded leaf: <br />rate; .@'1g p b,; ❑ 0.1 <br />Yes <br />No* <br />Were all LLDs cum finned operational and <br />Yes <br />❑ No* <br />- <br />accurate within re <br />Was the testis apparatus �atOrY requirements? <br />g PP Properly calibrated? <br />es <br />❑ No* <br />❑ N/A <br />For mechanical LLDs, does the LLD restrict Prodect flow if it detects a leak? <br />Yes <br />Cl Ny <br />@'N/A <br />For electronic LLDs, does the turbine automatically shut off u the LLD detects a leak? <br />Yes <br />❑ No* <br />C3�N/A <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled <br />or disconnected? <br />Yes <br />❑ No* <br />la N/A <br />For electronic LLDs, does the turbine automatically <br />or fails a test? t off if any portion of tltb moniinring system malfunctions <br />Yes <br />❑❑ �* <br />For electronic LLDs, have all accessible wiring <br />— <br />tI N/A <br />connections been visual] Y msPeeted. <br />u r es I U No* I Were all items ou the equipment manufacturer's maintenance checklist completed <br />in me Section H, below, describe how and when these deficiencies were or will be corrected. <br />H. Comments: 5 <br />tYt� 3s p � �`�a-1 ✓, <br />Page 3 of 3 <br />03/01 <br />