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F. In-'i nk Gauging/SIR Equi went: (X) Check this box if tank 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 following checklist: NSA <br /> O Yes L No* Has all input wiring been inspected for proper entry akterminatFo7nincluding testing for ground faults? <br /> O Yes No'r Were all tank gauging probes visually inspected for dsidue buildup? <br /> OYcs No* Was accuracy of system product love] readings testedYes Nn" Was accuracy orsystem water level readings tested? <br /> Yes No* Were all probes reinstalled properly? <br /> Yes NO Were all items on the equipment manufacturer's maintlist completed? <br /> * in the Scc <br /> 'tion H,below,describe how and when these deficiencies were or will be corrected. <br /> G. Linc I Olt Detectors (LLD): (X) Check this box if LLDs are not installed, <br /> Complete t e following checklist: <br /> 0 Yes 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: ® 3 g.p.h.;❑ 0.1 g.p.h ;❑0.2 g.p.h, <br /> Exi Yes E No° Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> ❑x Yes E No* Was the testing apparatus properly calibrated? <br /> 0 Ye No* f^'or mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br /> N/A <br /> ❑ 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, docs the turbine automatically shut off if any portion of the monitoring system is disabled <br /> X N/A or disconnected? <br /> E-7 <br /> ❑ No'" For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring figs <br /> IK N/A or fails a test? <br /> D No For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> x N/A <br /> ❑ No" Were all items on the equipment manufacturer's maintenance checklist completed? <br /> In the Section 11, below,describe how and when these deficiencies were or will he corrected. <br /> H. Comm) nta: <br /> Page 3 of 4 0�/al <br />