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F.In-Tank Gauging/SIR Equipment: r Check this box if tank gauging is used only for inventory control. <br /> r Check this box if no tank gauging or SIR equiDmenrl is i lied r (� <br /> This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. ` C `F <br /> Complete the following checklist: J <br /> J p JUN n 2015 <br /> Yes No' Has all input wiring been inspected for proper entry and termination,including testing for ground faults? I/lV fi I <br /> Yes No' Were all tank gauging probes visually inspected for damage and residue buildup? L—WHO MENTAL <br /> Yes IF No* Was accuracy of system product level readings tested? rr j 117 rJ10T�ACp1T <br /> Yes r No' Was accuracy of system water level readings tested? <br /> Yes r No' Were all probes reinstalled properly? <br /> Yes r No' Were all items on the equipment manufacturers 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): r Check this box if LLDs are not installed. <br /> Complete the following checklist: <br /> • Yes No' For equipment start-up or annual equipment certifications was a leak simulated to verify LLD performance?(Check all that <br /> N/A pp/y)Simulated leak rater 3 g.p.h.; r 0.1 g.p.h; I 0.2 g.p.h. <br /> G. 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 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 /> IT Yes r No* nor electronic LLDs that are programmed for positive shut down,does the turbine automatically shut off if any portion of the <br /> N/A onitoring system is disabled or disconnected? <br /> • Yes r No* For electronic LLDs that are programmed for positive shut down,does the turbine automatically shut off if any portion of the <br /> N/A onitoring system malfunctions or fails a test? <br /> . Yes r No. or electronic LLDs,have all accessible wiring connections been visually inspected? <br /> N/A <br /> • Yes r No- iNere 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 /> First attempt of 87 ld did not pass.Purged under 2 gallons of fuel then 87 ld passed.No repairs needed. <br /> Page 3 of 3 12/07 <br />