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0 <br /> F. ln-T-a.lnkGnughng/SIRE unpnii <br /> Z�l q ent. M/Check this box if LA gauging is Usfod CAY fcr inventory ccpntj-,11-1' <br /> U Check this box if no tank gauging or SM equipment is <br /> This section must be completed if in-tank gauging equipment is used to perform leaf{ detection monitoring. <br /> Complete the following checklist: <br /> L3 Yes Q No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br /> Q Yes L3 No* Were all tank gauging probes visually inspected for damage and residue buildup? <br /> Ll Yes Ll No* Was accuracy of system product level readings tested? <br /> Q Yes U No* Was accuracy of system water level readings tested? <br /> Ll Yes U No* Were all probes reinstalled properly? <br /> Q Yes] L3 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 /> G. Line Leak Detectors (LLD): U Check this box if LLDs are not installed. <br /> Complete the foliowin checklist: <br /> Uf Yes L3 No* For equipment start-up or annual equipment ertification, was a leak simulated to verify LLD performance? <br /> L3 N/A (Check all that apply) Simulated leak rate: W3 g.p.h.; U 0.1 g.p.h; 0 0.2 g.p.h. <br /> Uf Yes Ll No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> Y <br /> YYes <br /> Yes s <br /> s <br /> Yes Ll No* Was the testing apparatus properly calibrated? <br /> Ef Yes El No* For mechanical LLDs,does the LLD restrict oduct flow if it detects a leak? <br /> U N/A <br /> U Yes LIANo* For electronic LLDs,does the turbine auConi!"lly shut off if the LLDdetects a leak? <br /> Ed N/A <br /> U Yes 0 No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is�( disabled N/A or disconnected? I <br /> Q Yes Q No* For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions <br /> WKNIA or fails a test? <br /> Ll Yes Q No* For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> Y <br /> e(N/A <br /> Yes <br /> Ye L3 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 03101 <br />