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FF In— Tank Gauging/ SIR Eql ent: <br />❑ Check this box if tqf&auging is used only for inventory control. <br />❑ Check this box if AW 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 />❑ Yes ❑ No* Has all input wiring been inspected or proper entry and termination, <br />t��s No* Were all tank gauging probes visually inspected for damage and resit <br />s No* Was accuracy of system product level readings tested? <br />El es No* Was accuracy of system water leve readings tested? <br />❑ Yes No* Were all robes reinstalledproperly? <br />❑ Yes No* Were all items on the equipment manufacturer's maintenance checkli <br />G. Line Leak Detectors (LLD): ❑ Check this box if LLDs are not installed. <br />P the following checklist: <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 gp.h. ❑ 0.2 g.p h. <br />NO <br />❑ <br />Were all LLDs confirmed operational and accurate within regulatory requirements? <br />❑ No* <br />Was the testing apparatus properly calibrated? <br />❑ o <br />❑ N/A <br />For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br />No. <br />For electronic LLDs, does the turbine automatically shut off if the LH) detects a leak? <br />N/A <br />NO* <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled <br />N/A <br />or disconnected? <br />❑ No* <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions <br />® N/A <br />or fails a test? <br />For electronic LLDs, have all accessible wiring connections been visually inspected? <br />® N/A <br />No* <br />Were all items on the equipment manufacturees maintenance checklist comp ete ? <br />* In the Se ection H, below, describe how and when these deficiencies were or will be corrected. <br />H. Comments: 87 MLD WAS REPLACED AND TESTED AND IT PASSED. THIS WAS BECAUSE IT FAILED ON THE <br />ANNUAL, MONITORING TEST ON 3/28/06. <br />Page 3 of 4 03/01 <br />