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F. In-Tank Gauging/SIR Equipment: Q Check this box if tank gauging is used only for inventory control. <br /> 0 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 pert leak detection monitoring. <br /> Co fete the foltowin checklist: <br /> Yes ❑ No' f Has all Input wiring been inspected 5pp6par entry and[amination,including testing for ground faults? <br /> Q Yes j Q No* I Were all tank ganging probes y inspected for damage and residue buildup? <br /> ❑ Yes Q No- Was accuracy of system a level readings tested? <br /> 0 Yes O NO Was accuracy of em Mit readings Tested? <br /> 0 Yes Q No* Were all p s reinstalled properly? <br /> Q Yes Q No" Acre items on the equipment manufacturer's main=mce checklist completed? <br /> y In the S;'�k <br /> n$ w,describe how and when these deficiencies were or will be corrected. <br /> G. DebeCbors(LLD): Q Check this box if LLDs are not installed. <br /> m ete the following checldisL <br /> Z'yes Q No* For equipment start-up or annual equipmegt cywficatiou, was a leak simulated to verify LLD performance! <br /> Q NIA (Check all that apply) Simulated leak rate! ULI g.pL.: Q 0,1 g p.h: 1101 g.p.h. <br /> Q No* Were all LLDs confirmed operational and accurate within regulatory mquirements? <br /> Y O No* Was the testing apparatus properly calibrated? <br /> es ❑ No* For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> Q N1A <br /> ❑ Yes Q No" For electronic LLDs,does the turbine automatically shut off ifitte I r n efcreers a leak? <br /> ❑ NIA <br /> Q Yes Q No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> Q Nl0. oc diuonucctad? <br /> ❑ Yes Q Noy For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions <br /> Q WA or NIS a test? <br /> Ey <br /> D No* For electronic LLDs.have all accessible wiring connections been visually inspected? <br /> ❑ NIAQ No* I Were all items on the equipment mantrfscnnees maintenance checklist completed? <br /> *In tlueSeet'wu H,blow,describe Flow and wben these denciand"were or wU be earrecterl_ <br /> H. Comments: <br /> Page of 3 OYal <br />