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F. In-Tank Gauging/SIR Equipment: r Check this box if tank gaugingis used only for inventory control. <br /> El Check this box if no tank gauging or SiR equipment is installed. <br /> This section must be completed ifin-tank gauging equipment is used to perform leak detection monitoring. <br /> -''omplete the following,-checklist: _ <br /> ❑ Yes ❑ No* Has all input wiring been inspected for proper entry and termination,including testing for ground faults? <br /> t7 Yes ❑ No*` Were all tank gauging probes visually inspected for damage and residue buildup? <br /> ❑ Yes ❑ No* Was accuracy of system product level readings tested? <br /> ❑ Yes ❑ No* Was accuracy of system water level readings tested? <br /> ❑ Yes ❑ No* Were all probes reinstalled properly? <br /> Yes I ❑ all items on the equipment manufacturer's maintenance checklist completed? <br /> {In the Section H,below,describe how and when these deficiencies here or will be corrected. <br /> G. Line Leak Detectors (LLD): ❑ Check this box if LLDs are not installed. <br /> Compjete the follow' a cheeldist: <br /> Sees ❑ No* For equipment start-up or annual equipment cArtification, was a leak simulated to -verify LLD pe:fermance <br /> ElNIA (Check all that apply) Simulated leak rate: D3 g.p.h.l; ❑0.1 g.p.h a; ❑0.2 g.p.h.'2 <br /> Notes: I. Required for equipment start-up certification and annual certification. <br /> 2. Unless mandatedby local agency,certification required only for electronic LLD ste up. <br /> C ?es ❑ bio* Were aJILLDs confirmed operational andaccuratewitivnregulatoryrequirements? <br /> Y es ❑ No* Was the testing apparatus properly calibrated? <br /> ❑ Yes ❑ No* For mechanical I_LDs,does the LLD restrict product flow if it detects a lew. <br /> El NIA <br /> L] des ❑ No* For electronic LLD s,does the turbine automatically shut off if the LLD detects aleck? <br /> ❑ N/A <br /> f-7 fes ❑ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> ❑ NIA or disconnected? <br /> es ❑ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring systern malfunctions <br /> ❑ NIA or fails ate st? <br /> ❑ les ❑ No* Fox electronic LLDs,have all accessible wiring connections been visually inspected? <br /> ❑ NIA <br /> G es ❑ 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. C'onunents: <br /> Pale 3 of 3 03.01 <br /> � 'd ST1�6- TE6160�1 WdfWd 66 JawweH eTa :60 SO -�,0 qaj <br />