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F. In-Tani: Gauging / SIR Equipment: O 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 foilo,%vin checklist: <br /> Yes O No* Has all input wiring been inspected for proper entry an termination, including testing for ground faults'? <br /> O 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 ❑ Noy` Were all probes reinstalled properly? <br /> ❑ Yes ❑ No" Were all items on the cquip=nt 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): O"Check this box ifLLDs arc not installed. <br /> Complete the following checklist: <br /> O Yes ❑ No" For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br /> O N/A (Check all that apply) Simulated leak rate: 0 3 g.p.h.; O 0.1 g.p.h; Cl 0.2 g.p.h. <br /> O Yes O No" Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> ❑ Yes ❑ No* Was the testing apparatus properly calibrated? <br /> ❑ Ycs ❑ No" For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> O N/A <br /> 0 Yes ❑ No* For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> 0 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 /> ❑ Yes ❑ No" For electronic LLDs,does the turbine automatically shut off if any portion of the monitorins system malfiinctions <br /> 0 N/A or fails a test'? <br /> O Yes O No` For electronic LLDs, have all accessible wiring connections been visually inspected? <br /> ❑ N/A <br /> O Yes ❑ No' Were all items on the equipment manufacturer's mintcnance checklist completed? <br /> ' In the Section H, below, describe how and when these deficiencies were or will be corrected. <br /> H. Comments. <br /> Page 3 of 3 03 0 <br />