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F. Ill -Tank Ganging / SIRE pment: <br />Check this box if tank auging 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 />Comnlete the fallowing elieeklistc <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 />I ❑ No* <br />I Were all items on the equipment manufacturer's maintenance checklist completed? <br />in uie 3eceion n, ueiuw, uescrive now ana wnen [nese aellclencies were or will be corrected. <br />G. Line Leak Detectors (LLD): ❑ Check this box if LLDs are not installed. <br />Camnlete the fallowinu checklictr <br />es <br />❑ No* <br />For equipment start-up or annual equipment certif ' n, was a leak simulated to verify LLD performance? <br />❑ N/A <br />(Check all that apply) Simulated leak rate: g.p.h.; ❑ 0.1 g.p.h ; ❑ 0.2 g.p.h. <br />es <br />No* <br />Were all LLDs confirmed operational and accurate within regulatory requirements? <br />es <br />❑ No* <br />Was the testing apparatus properly calibrated? <br />Ur-YesCNo* <br />' <br />For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br />❑ N/A <br />T Yes <br />❑ No* <br />For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br />❑ Yes <br />❑ No*_ <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled <br />13 $/A <br />or disconnected? <br />❑ Yes <br />❑Flo* <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system <br />�� N/A <br />malfunctions or fails a test? <br />❑ Yes <br />❑ - <br />For electronic LLDs, have all accessible wiring connections been visually inspected? <br />�N/A <br />Cf' Yes <br />❑ No* <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />su LUV oCcarou n, UC[UW, Uesci7UC liow nalU wnen IDese amiciencles were or will be Corrected. <br />Page 3 of 3 03/01 <br />