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Check this this box if tank gauging is used only for inventory control. <br /> F. In-Tank Gauging I SIR Equipment: <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 /> Com <br /> ymlete the followin checklist: <br /> Yes ❑ No* Has all input wiring been inspected for proper entry and termination,including testing for ground faults? <br /> [3 yes L3 No* Were all tank gauging probes visually inspected for damage and residue buildup? <br /> ❑ Yes ❑ No* Was Imcy 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 ❑ 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 /> Com tete the followin checklist: <br /> Yes ❑ No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br /> ❑ NIA (Check all then apply) Simulated leak rate:1MV13 g.p.h.; ❑0.1 g.p.h; ❑0.2 g.p.h. <br /> Yes ❑ No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> Yes ❑ No* Was the testing apparatus properly calibrated? <br /> Yes ❑ No* For mechanical LLDs,does the LLD restrict product flow if n detects a leak? <br /> ❑ NIA <br /> LI Yes ❑ No* For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> N/A <br /> ❑ Yes No* For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> ` NIA or disconnected? <br /> El Yes ❑ No* For electronic LIDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions <br /> N/A or fails a test? <br /> 13 Yes No* For electronic LL.Ds,have all accessible wiring connections been visually inspected? <br /> N/A <br /> Yes No* Were all items on the equipment manufacturer's maintenance checklist completed? <br /> *In the Section H,below,describe how when these deficiencies were or will be corrected. <br /> v <br /> J v4H. Comments: •� <br /> A, hen le C <br /> Page 3 of 3 03101 <br />