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.s <br />i <br />F. In -Tank Gauging / SIR Equipment: <br />/Checkhis 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 />Cmmnlete the fnllnwino ehP ]A;ct• <br />❑ Yes <br />❑ No* <br />Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br />❑ Yes <br />❑ No* <br />Were all tank gauging probes visually inspected for damage and residue buildup? <br />❑ Yes <br />❑ No* <br />Was accuracy of system product level readings tested? <br />❑ Yes <br />❑ No* <br />Was accuracy of system water level readings tested? <br />❑ Yes <br />❑ No* <br />Were all probes reinstalled properly? <br />❑ Yes <br />❑ No* <br />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 />VmmTlatP tha fnnnwln" nhPn4lict• <br />vvqes <br />❑ No* <br />❑ N/A <br />For equipment start-up or annual equipment rtification, was a leak simulated to verify LLD performance? <br />(Check all that apply) Simulated leak rate: a 3 g.p.h.; ❑ 0.1 g.p.h ; ❑ 0.2 g.p.h. <br />s <br />❑ No* <br />Were all LLDs confirmed operational and accurate within regulatory requirements? <br />Y <br />❑ No* <br />Was the testing apparatus properly calibrated? <br />❑` es <br />❑ No* <br />❑ N/A <br />For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br />❑ Yes <br />❑ * <br />A <br />For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br />❑ Yes <br />❑ o* <br />N/A <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled <br />or disconnected? <br />❑ Yes <br />❑ o* <br />Cr N/W <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions <br />or fails a test? <br />❑ Yes <br />o* <br />N/A <br />For electronic LLDs, have all accessible wiring connections been visually inspected? <br />Yes <br />❑ No* <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />All LUC OCL1LV11 n, ueww, uescrLoe now ana when mese aelrcrencies were or will be corrected. <br />H. Continents: <br />Page 3 of 3 03101 <br />