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F. In-Tank Gauging/SIR Equ eant: It Check @lis box if tan0gauging 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 Vsse'd td perform leak detection monitoring. <br /> Com tete the followin checklist: <br /> ❑ Yes ❑ No* Has all input wiring been inspected for proper entry and te=buildup? <br /> testing for ground faults? <br /> ❑ Yes ❑ No Were all gauging probes visually inspected for dama ?❑ Yes ❑ No* Was accuracy ofs stem product level readings tested?❑ Yes ❑ No* Was ac uracy of system water level readings tested?❑ Yes ❑ No* Were a11Itobes reinstalled properly? <br /> ❑ Yes ❑ No* Were all item3 onthe equipment manufacturer's 19aintenad? <br /> * In the Section H, below,describe how and when these defleienglea;were or will be corrected. <br /> 41 <br /> G. Line Leak Deteetolls:O:LD): ❑ Check this box if LLDs are not in�4alled. <br /> Complete the follow i checklist: <br /> ZZ Yes ❑ No* For equiplpent start-up r annual,gquipinent certification, was a leak simdated to verify LLD performance? <br /> ❑ N/A (Check'al( at apply) Simulated kc k,, le:' 3 g�p.h.; ❑0.1 j.p.h; ❑0.2 g.p.h. <br /> I <br /> )d Yes Cl No* Were alf LLDs confirmed operational and accurate within regulatory requirements? 1 <br /> 0 Yes ❑ No* Was the testing apparatus properly calibrated? <br /> ❑ Yes ❑ No* Form anicaI LLDs,does the LLD restrict product flow if it detects a leak? <br /> Ut N/A <br /> M Yes ❑ Now For electronic LLDs,does the turbine automatically shut off if th <br /> EJ N/A te L detects <br /> la elects a leak? <br /> i <br /> LI Yes Ll No* <br /> For electrgnic LLDs, does the turbine automatically shut off if any p"ign�o the monitoring system is disabled <br /> Ll N/A orjdiscoriut�ted? { <br /> Yes ❑ No* For elecMic]i does the turbine automatically shut off. if any p <br /> or fails a oY�ifln of the monitoring system malfunctions <br /> ❑ N/A lest? <br /> JCL Yes ❑ No* For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> 13 N/A }f\ t.'�.. <br /> �1-Yes ❑ No* Were all items on the equipment manufacturer's maintenance cheekt mpl ted?I <br /> *In the Section H, below,describe how and when these deficiencies were or will be corrected. <br /> H. Comments: <br /> Page 3 of 3 03101 <br />