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Site Address: IHrlb W LOWEI-L AVE, I PACY Dateot iesungiservicmg: t <br /> F. In-Tank Gauging/ SIR Equipt%,At: Check this box if tank'!rdiging 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 perforin leak detection monitoring. <br /> Completethe following checklist: <br /> 13Yes ❑ No* I 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 /> ❑ Yes ❑ No* Was accuracy of system product level readings tested? <br /> ❑ Yes '❑ No* .Was accuracy of system water level readings tested? <br /> ❑ Yes ❑ No* Were all probes reinstalled properly? <br /> ❑ Yes I ❑ 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): ❑ Check this box if LLDs are not installed. <br /> CorWete the Ilowing checklist: <br /> Zf Yes d No* For equipment start-up or annual equipment ification, was a leak simulated to verify LLD performance? <br /> ❑ N/A (Check all that+apply) Simulated leak rate:X3 g.p.h.; ❑ 0.1 g.p.h ; ❑ 0.2 g.p.h. <br /> P <br /> 1� <br /> Kes <br /> El No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> ❑ No* Was the testing apparatus properly calibrated? <br /> ❑ No* For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br /> ❑ N/A <br /> 3 Yes ❑ * For electronic CLDs, does the turbine automatically shut off if the LLD detects a leak? <br /> ,PKN/A <br /> 3 Yes ❑ o* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> N/A or disconnected? <br /> 3 Yes ❑ o* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system <br /> jM N/A malfunctions or fails a test? <br /> 3 Yes ❑ o* For electronic LLDs, have all accessible wiring connections been visually inspected? <br /> dM N/A <br /> Yes ❑ No* Were all ' n t e equipment manu a ' maintenance checklist completed? <br /> In the Section H, w, describe how and when these deficiencies w6re or will be corrected. <br /> I. Commen <br />