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F. In -Tank Gauging / SIR E ment: <br />heck this box if taiiging is used only for inventory control. <br />13Check this box if no gauging or SIR equipment is installed. <br />This section must be completes} if in -tank gauging equipment is used to perform leak detection monitoring. <br />Com )lete the following checklist: <br />Yes <br />❑ No* <br />I Has all inpufwirmg beeii 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 ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? <br />_�_ ii L_.__ - <br />e-- -••� .........r.. , -•.+.•, "w..A- ..v„ auu WRl CI, ueeNe ueiec,enejes-were or will ®e corrected. <br />G. Line Leak Detectors (LLD): ❑ Check this box if LLDs are not installed. <br />CarnnietP tha fh1inwina rhaelrlief- <br />Yes <br />❑ No* <br />For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br />❑ N/A <br />(Check all that apply) Simulated leak rate: ❑ 3 g.p.h.; ❑ 0.1 g.p.h ; ❑ 0.2 g.p.h. <br />Yes <br />❑ No* <br />Were all LLDs confirmed operational and accurate within regulatory requirements? <br />fig—Yes <br />❑ No* <br />Was the testing apparatus properly calibrated? <br />Yes <br />❑ No* <br />For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br />❑ N/A <br />❑ Yes <br />❑ No* <br />For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br />N/A <br />rLI Yes <br />❑ No* <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled <br />6. N/A <br />or disconnected? <br />❑ Yes <br />❑ No* <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system <br />malfunctions or fails a test? <br />LN/A <br />❑ Yes <br />EJ No* <br />For electronic LLDs, have all accessible wiring connections been visually inspected? <br />U N/A <br />es <br />❑ No* <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />-•. --•-- -1 — __, •w• -•o, —1....G ..vry MAA ween mese aenciencies were or win be corrected. <br />H. Comments: <br />Page 3 of 3 03/01 <br />