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N. In-Tank Ganging I SIR Equipment: ❑ Check this box if tank 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 /> Complete the foilowine checklist. <br /> Yes Q No' Has all input wiring been inspected for proper entry and termination,including testing for ground faults? <br /> El Yes ❑ No* Were all tank gauging probes visually inspected for damage and residue buildup? <br /> 0 Yes ❑ No- Was accuracy of system product level readings tested? <br /> ❑ Yes O No* Was accuracy of system water level readings tested? <br /> ❑ Yes ❑ No" W eye all probes reinstalled properly? <br /> El Yes ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? <br /> to the Section 13,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 /> our tete the following checklist: <br /> No' For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br /> ❑ N/A (Check all that apply) Simulated leak rate: I3 3 g.p.th; ❑0.1 g.p.b; ❑0.2 g.p.h. <br /> es <br /> _QNo' Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> es O No' Was the testing apparatus properly calibrated? <br /> ❑ Ne For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> 0 N/A <br /> ❑ Yes 0 No` For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> 0 NIA <br /> ❑ Yes ❑ No' For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> Cl NIA or disconnected? <br /> ❑ Yes 0 No* For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions <br /> ❑ NIA or fails a test? <br /> ❑ Yes 0 No' For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> Q N/A <br /> Yes 12 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: <br /> Page 3 of 3 aJ/al <br />