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Y <br /> Zn-Tank Gauging/SSM Equipment: ❑ Check this box if tank:gauging is used only for inventory control. <br /> ❑ Check this box if no tank gauging or Slit equipment is installed. <br /> 'r <br /> This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. <br /> Com 01ete the foliowine checklist: <br /> �' s ❑ No* Has all input wiring been inspected for proper entry and termination,including testing-for ground faults". j <br /> es ❑ No* Were all tank gauging,probes visually inspected for damage and residue buildup? i <br /> s ❑ Nc* Was accuracy of system product level readings tested? , <br /> es ❑ Ne* ' Was accuracy of system water level readings tested? <br /> es ❑ No* Were all probes reinstalled properly? <br /> 21 Yes ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? <br /> *In the Section I3,below,describe how and when these deficiencies were or will be corrected. <br /> G. Une leak Detectors (LLD): ❑ Check this box if LLDs are not installed. <br /> Co £e the following chevclistr <br /> Yes ❑ No* For equipment start-up or annual equipment cation, was a leak simulated to verify LLD performance? <br /> ❑ NIA (Check all that apply) Sitmtlated leak rate: U 3 g.p.h.; ❑0.1 g.p.h; ❑0.2 g.p.h. <br /> ❑ No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> ❑ No* Was the testing apparatus properly calibrated? <br /> Yes ❑ No* For mechanical LLDs,does the LLD restrict product flow if it detects a Ieak? <br /> NIA <br /> Z] Yes ElFor electronic LLDs,does the turbine automatically shut off if the LLD detects a leak:? <br /> NIA <br /> ❑ Yes 13 PI& For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> 2 NIA or discomnected? <br /> Yes ❑ o* For electronic LLDs,does the turbine aummatically shut off if any portion of the monitoring system malfunctions <br /> 13 NIA or faits a test? <br /> IZLIJ[ Ye ❑ No* For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> Q NIA j <br /> Yes Cl No's Were all items on the equipment manufacturer's maintenance checklist completed? r <br /> *In the Section K,below,describe how and when these deficiencies were or will be corrected. <br /> EL Comments: <br /> Page 3 of 3 03MI <br /> Y <br /> I <br /> Y <br />