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Facility Name: (Page 3) <br /> f In-Tank Gauging / SIR Equipment: <br /> ®Check this box if tank gauging is used only for inventory control . <br /> ❑Check this box if no lank gauging or SIR equipment is installed and disregard the following section. <br /> Com tete the fe)Iowin 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 /> i <br /> ® Yes ❑ No* Was accuracy of system product level readings tested? <br /> ® Yes ElNo* Was accuracy of system water level readings tested? <br /> ® Yes ❑ No* Were all probes reinstalled property? <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): <br /> ❑ Check this box if LLDs are not installed and disregard the following section. <br /> PE] yes <br /> JN * <br /> r equipment start-up orannual equipment certification, was a leak simulated to verify LLD performance? <br /> heck all that apply) Simulated leak rate: ® 3 g.p.h.; ❑ 0. 1 g.p.h ; ❑ 0.2 g.p.h. <br /> ere all LLDs confirmed operational and accurate within regulatory requirements? <br /> as the testing apparatus properly calibrated? <br /> r mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br /> El Yes ElNo* For electronic LLDs, does the turbine automatically shut off ifthe LLD detects a leak? <br /> ® N/A <br /> ❑ Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> ® N/A or disconnected? <br /> E] Yes El No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system <br /> ® N/A malfunctions or fails a test? <br /> ❑ Yes ❑ No* For electronic LLDs, have all accessible wiring connections been visually inspected? <br /> ® N/A <br /> ® Ycs ❑ 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 />