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e <br />F. in -Tank Gauging / SIR Equipment: ❑ Check this box if tank gauging is used only for inventory control. <br />❑ 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 perform 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 inspected for damage and residue buildup? <br />❑ <br />Yes <br />❑ <br />No` <br />Was accuracy of system product level readings tested? <br />❑ <br />Yes <br />❑ <br />No' <br />Was accuracy of system water level readings tes ed? <br />❑ <br />Yes <br />❑ <br />No' <br />all probes reinstalled properly? <br />13Yes <br />❑ <br />N�o*Were <br />Wereall items on the equipment manufacturer's aintenance checklist completed? <br />I Section H, below, describe how and when these deficiencies were or will be corrected. <br />le Leak Detectors (LLD): ❑ Check this ox if LLDs are not installed. <br />!`.......IMn fhn fnllnu. 1— <br />Yes <br />nn <br />i Section H, below, describe how and when these deficiencies were or will be corrected. <br />i. Comments: ALL 4 1_D WERE GOOD <br />Monitoring System Certification <br />Yes <br />❑ <br />No' <br />For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? (Check all that apply) <br />❑ <br />N/A <br />Simulated leak rate: ® 3 g.p.h.; ❑ 0A g.p.h; 0.2 g.p.h. <br />® <br />Yes <br />❑ <br />No' <br />Were all LLDs confirmed operational and accurate within regulatory requirements? <br />® <br />Yes <br />❑ <br />No' <br />Was the testing apparatus properly calibrated? <br />® <br />Yes <br />❑ <br />No' <br />For mechanical LLDs, does the LLD restrict prod ict flow if it detects a leak? <br />❑ <br />N/A <br />❑ <br />Yes <br />❑ <br />No' <br />For electronic LLDs, does the turbine automatica ly shut off if the LLD detects a leak? <br />® <br />N/A <br />❑ <br />Yes <br />❑ <br />No' <br />For electronic LLDs, does the turbine automatica ly shut off if any portion of the monitoring system is disabled or disconnected? <br />® <br />N/A <br />❑ <br />Yes <br />❑ <br />No' <br />For electronic LLDs, does the turbine automatica ly shut off if any portion of the monitoring system malfunctions or fails a test? <br />® <br />N/A <br />❑ <br />Yes <br />❑ <br />No' <br />For electronic LLDs, have all accessible wiring connections been visually inspected? <br />® <br />N/A <br />® <br />Yes <br />❑ <br />No' <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />i Section H, below, describe how and when these deficiencies were or will be corrected. <br />i. Comments: ALL 4 1_D WERE GOOD <br />Monitoring System Certification <br />