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F. In -Tank Gaup nb / SIR Equipment: ❑ qre& this box if tank gauging is used only for inventory control_ check this box if no tank gauging or SIR equipment is,installed. This section must be completed if in -tank gaining equipment is used to perform leak detection monitoring. Complete the following checklist: ❑ Yca ❑ No* Has all input wiring been inspected for proper entry and termination, including testing for goutid faults" ❑ Yes (❑ Yes ❑ Not ❑ No' Were all tank gauging probes visually inspected for damage and residue buildup^ I Was accuracy of system product level readings tested? Yes ❑ No* Was accuracy of system water level readings tested? ❑ Yes :1 No* Were all probes reinstalled properly' Z, Yes ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? in the Section n, below, describe how and when these deficiencies were or will be corrected_ G. Line Leak Detectors (LLD): Complete the following checklist: Check; this box if LLDs are not installed. Yes j ❑ No' 1 For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? i ❑ N/A ! (Check all that apply) Simulated leaks rate: 0 3 e.p.h.; ❑ 0. l g.p.h ; ❑ 0? g.p.h. � 1 V'- s ❑ No* Were all LLDs confirmed operational and accurate within regulatory requirements? Yes ❑ No* Was the testing apparatus properly calibrated? 1 Yes ❑ No* ❑ N/A For mechanical LLDs, does the LLD restrict product flow if it detects a leak? Yes ❑ y'o* N/A For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak'' I (❑ Yes ❑/NO* d N/A For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? ❑ Yes ❑ Flo* CT N/A I For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test" ❑ Yep ❑ _ * _ /A For electronic LLDs, have ail accessible wiring connections been visually inspected? Yes ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? * In the Section H, below, describe how and when these deficiencies were or will be corrected. H. Comments: Page 3 of 3 03/01