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AF—ORDA—TE$T 12097940112 P. 08 <br /> F. In-Tank Gauging/SIR Equipment: 63 Check this box if tank gauging is used only for inventory control. <br /> Check this box if no tank gauging or S!IR equipment is installed. <br /> This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. <br /> Complete the foll Ing checklist: <br /> F <br /> ❑ NO <br /> Has all input wiring been inspected for proper entry and termination,including testing for ground faults? ^ <br /> No* Were all tank gauging probesvisually inspected fordamage andresidue buildup? <br /> U No* Was accuracy of system product level readings tested? <br /> UNo* Was accuracy of system water level readings tested? <br /> U No* Were all probes reinstalled properly? <br /> ❑ 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): O Check this box if LLDs are not installed. <br /> Co Icte the foliowin checklist: _ <br /> Yes ❑ No* For equipment start-up or annual equipment c ' tcation, was a leak simulated to verify LLD performance' <br /> U N/A (Check all that apply) Simulated leak rate: M g.p.h.; CIO.I g.p.h; ❑0.2 g.p.h. <br /> Yes U No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> 3'es U No* Was the testing apparatus properly calibrated? <br /> Yes U No* For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> U N/A <br /> O YesU Tjla* For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> N/A <br /> p Yes ❑ t3o* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> N/A or disconnected? <br /> U Yes U W For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions <br /> N/A or fails a test? <br /> U Yes ❑ DW- For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> N/A <br /> Yes I U 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 he corrected. <br /> H. Comments: <br /> Page 3 of 3 03/01 <br />