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�. Note <br /> F. In-Tank Gauging/SIR Equipment: ] Check itis box if aak ganging is used only for inventory control. <br /> ZI Check this box if no tank gauging or SIR equipment is installed. <br /> This section must he completed if in-tank gauging equipment is used to perform leak detection monitoring. <br /> Complete the rollow'in•checklist: <br /> Yes ] No- Has all input wiring been inspected for proper entry and terminalion.including testing for ground faults? <br /> )0 Yes ] No- Were all tank gauging probes visually inspected for damage and rcstdue buildup' <br /> JS Yes ❑ No- Was accuracy of system product level readings tested? <br /> Yes ❑ No' Was accnocy,of system water level readings tested? <br /> Jg Yes ❑ Na- Wcre all probes reinstalled properly! <br /> Yes ❑ No* Were all nems on the equipment manufacturer s maimemnce eheckhsi completed' <br /> • In the Section It.below.describe hum and when these deficiencies were or will be corrected. <br /> C. Line Leak Detectors(LI.D): U Check this box if LLDs are ant installed- <br /> Complete <br /> nstalled.Com lete the following cbecklist: <br /> Yes ❑ No• I For equipment startup or annual equipment cenificalion, was a leak simulated to verify LLD performance' <br /> ❑ NIA !Checkall char applpl Simulated leak rat'. 93 g.p.h.: U 0.1 g.p.h: U 0.2 g.p.h. <br /> X Yes O No* Were all I.I.Ds confirmed operational and accurate within regulatory requirements'? <br /> Yes J Nu• Was the testing apparatus properly calibrated? <br /> Yes ❑ No- For mechanical LLDs.dues the LLD rcslrici product flow if it detects a leak? <br /> ❑ NIA <br /> Yes ❑ No' For electronic LLDs.does the turbine automatically shut off if the 1.1-13 detects a Irak? <br /> N/A <br /> Yes ❑ No• For electronic LLDs.does the mrhine atwatutically shut ol'f if any portion of the marinating system is disabled <br /> ❑ NIA or disconnected? <br /> Yes ] No- For electronic LLDs.does the turbine automatically shut off if any portion of the monitoring system'malfunctions <br /> ❑ N/A or fails a test? <br /> XT Yes ❑ No* For electronie I_LDs,have all accessible wiring connections been visually inspected'! <br /> ❑ N/A <br /> Ycs ❑ No- Were all items on the equipment manulaaurer's maintenance checklist completed? <br /> • In the Section 11,heluw,describe ham and when these defit-iencies were or will he corrected. <br /> H. Comments: <br /> Page 3 of 3 Oval <br />