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F. Iu-Tank Gauging /SIR Equip.,tent: lT ('Beck this box if tantc gauging is used only for inventory control. <br />O Check this box if no tank gauging or SIR equipment is installed. <br />This section must be completed if in -tank gauging equiplrlent is used to perforin leak detection monitoring. <br />Complete the following checklist: <br />❑ <br />Yes <br />❑ <br />No* <br />Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br />❑ <br />Yes <br />❑ <br />No* <br />Were all tank gauging probes visually inspccled for damage and residue buildup? <br />❑ <br />Yes <br />❑ <br />No* <br />Was accuracy of system product level readuigs tested? <br />Cl <br />Yes <br />❑ <br />No* <br />Was accuracy of system water level readings tested? <br />Yes <br />❑ <br />No* <br />Were all probes reinstalled properly? <br />E❑ <br />❑ <br />Yes <br />❑ <br />No* IWere <br />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): ❑ Check this box if LLDs are not installed. <br />mplete the following checklist: <br />Yes ❑ No* For equipment start-up ar annual equipment certification, was a leak simulated to verify LLD performance? <br />❑ N/A (Check all that apply) Simulated leak rate: &I-g.p.h.; ❑ 0.1 g.p.h ; ❑ 0.2 g.p.h. <br />Yes I ❑ No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br />Yes 1 ❑ 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 />1 ❑ N/A <br />❑ Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br />t3" N/A <br />ZI Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled <br />l7`N/A or disconnected? <br />Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system <br />❑' JN/A malfunctions or fails a test? <br />Yes ❑ No* For electronic LLDs, have all accessible wiring connections been visually inspected? <br />I C]"N/A <br />Yes El No* Were all items on the equipment manufacturer's maintenance checklist completed? <br />Yes <br />In the Section H, below, describe how and when these deficiencies were or will be corrected. <br />1. Comments: <br />Page 3 of 3 <br />03/01 <br />