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t <br /> F. In-Tank Gnuging/ SIR E9t �❑ Ch ck this box if to tuging is used only for inventory control. <br /> l - heck 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 perforn-a leak detection monitoring. <br /> 1%4 Complete the following checklist: -- - . <br /> ❑ Yes ❑ No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br /> ❑ 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 ❑ 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): ❑ Check this box if LLDs are not installed. <br /> Com lete'the following checklist: <br /> Ur'Yes ❑ No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br /> ❑ N/A (Check all that apply) Simulated leak rate: Os3 p h.; ❑ 0•l g.p.h ; ❑ 0.2 g.p.h. <br /> ❑ Ye o* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> Yes ❑ No* Was the testing apparatus properly calibrated? <br /> El'Yes ❑ No* For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> ❑ N/A <br /> ❑ Yes ❑ O— For electronic LLDs,does the turbine automatically shut off if the LLD,detects a leak? <br /> Cd"N/A <br /> ❑ Yes ❑ N * For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> 0 N/A or disconnected? <br /> ❑ Yes ❑ Nom* For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions <br /> L1 N/A or fails a test? <br /> ❑ Yes ❑ No** For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> 5- N/A <br /> Yes ❑ 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. Comments: <br /> �e <br /> /O <br /> Page 3 of 3 03i01 <br />