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-jt13 ging S1 TZ Eq n 11-naent., this box ifUunk gauglin,,, is used only for in-vQjjt.f)ry <br /> Fj Check tills box if no tank gauging or SIR equipment is installed. <br /> This section must be completed if in-tank gauging equipment is used to performleakdetection monitoring. <br /> Coon late the o o ang,checklist: <br /> U Yes Ll No* Has all input wiring been inspected for proper entry and termination,including testing forgroun au s. <br /> Ll Yes —d—No* Were all tank gauging probes visually inspected for damage and residue buildup? <br /> Ll Yes _j No* Was accuracy of system product level readings tested? <br /> Ll Yes LJ No* Was accuracy of system water level readings tested? <br /> Q Yes LJ No* Were all probes reinstalled properly? <br /> Yes Ll <br /> L No* Were all items on the equipment manufacturer's maintenance checklist completed? <br /> I r <br /> In the Section H,below,describe how and when these deficiencies were or will be corrected. <br /> G. Line Leak Detectors (LLD): Ll Check this box if LLDs are not installed. <br /> Com lee the followin checklist: <br /> U-1es L3 No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br /> Ll N/A (Check all that apply) Simulated leak rate: 0'3 g.p.h.; Ll 0.1 g.p.h; Q 0.2 g.p.h. <br /> U Yes EY-'Ro Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> U-17es L3 No* Was the testing apparatus properly calibrated? <br /> 5`Yes : 0-'Iqo--* For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> U N/A <br /> Q Yes U N For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> U'N/A <br /> • U Yes Q N * For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> �C/A or disconnected? <br /> Ll Yes L3 No* For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions <br /> U�N/A or fails a test? <br /> L01 Yes Ll For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> U"-N/A <br /> ETYes 0 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: -e 3-1� PO C, �I� <br /> VV <br /> 4- <br /> T E-'b EL17 I\J <br /> Page 3 of 3 03101 <br />