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j F. In -Tank Gauging I SIR Equipment: <br />❑ Check this box if tank gauging 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 />Comniete the following eheeklict- <br />Yes <br />❑ No* <br />Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br />es <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* <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />... ...,..,.-.....,...,y uI n, uca+.z■uc aAVIT "U vY tMAI iUCJC UVLj :ICiI( jM were or win oe correctett. <br />G. Line Leak Detectors (LLD): <br />CnmAph- the PnUnwina ehr L -Hct- <br />❑ Check this box if LLDs are not installed. <br />es <br />G No-� <br />❑ N/A <br />For equipment start-up or annual equipment c�kation, was a leak simulated to verify LLD performance? <br />(Check all that apply) Simulated leak rate: U'n g.p.h.; ❑ 0.1 g.p.h ; ❑ 0.2 g.p.h. <br />Y <br />❑ No* <br />Were all LLDs confirmed operational and accurate within regulatory requirements? <br />Yes <br />❑ No* <br />Was the testing apparatus properly calibrated? <br />es <br />❑ No* <br />❑ N/A <br />For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br />❑ Yes <br />❑ I�T.o* <br />N!A <br />For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br />❑ Yes <br />❑ No* <br />N/A <br />For electronic LLDs, does the turbine automatically shut off f any portion of the monitoring system is disabled <br />or disconnected? <br />❑ Yes <br />El Nom* <br />L - /' <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions <br />or fails a test? <br />❑ Yes , <br />O <br />m/N/A <br />For electronic. LLDs, have all accessible wiring connections been visually inspected? <br />< — I— i .. ,Lcu„ vu LUC c4UIP rent mantuacturer s maintenance cnecKiist eompieted'! <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 />