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F. In-Tank Gzuging/SIR Equoent: W-Check this box if taoaging is used only for inventory control. <br /> U 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 following checklist: <br /> _ <br /> U Yes Ll No* I Has all input wiring been inspected for proper entry and termination,including testing for ground faults? <br /> U Yes El No* Were all tank gauging probes visually inspected for damage and residue buildup? <br /> U Yes U No* Was accuracy of system product level readings tested? <br /> Ll Yes U No* Was accuracy of system water level readings tested? <br /> U Yes U No* Were all probes reinstalled properly? <br /> Q Yes I U No* I 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): Q Check this box if LLDs are not installed. <br /> Compjate the foliowin checklist: <br /> d?ves U No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br /> Ll N/A (Check all that apply) Simulated leak rate: p.h.; 0 0.1 g.p.h; Ll 0.2 g.p.h. <br /> e§ L3 No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> U No* Was the testing apparatus properly calibrated? <br /> LYYes L3'No* For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> Q N/A <br /> 0 Yes Q No* For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> U11VA <br /> Q Yes U No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> Q--9/—A or disconnected? <br /> ,kU Yes U No* For electronic LLDs,does the turbine automatically shut off, if any portion of the monitoring system malfunctions <br /> U'UA or fails a test? <br /> U YesFo r electronic LLDs,have all accessible wiring connections been visually inspected? <br /> =NIA <br /> 3'Yes Q 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 /> Page 3 of 3 03/01 <br />