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F. In -Tank Gauging / SIR Equipment: /Check this box if tank gauging is used only for inventory contro <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 />Com tete the following checklist: <br />❑ Yes ❑ No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br />❑ Yes ❑ No* Were all tank gauging probes visually inspected for damage and residue buildup? <br />❑ Yes ❑ No* Was accuracy of system product level readings tested? <br />❑ Yes O No* Was. accuracy of system water level readings tested? <br />❑ Yes ❑ No* Were all probes reinstalled properly? <br />❑ Yes ❑ No* I 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): ❑ Check this box if LLDs are not installed. <br />C081nlete the following checklist: <br />16 Y <br />7❑ <br />❑ No* <br />N/A <br />For equipment start-up or annual equipment rdfacation, was a leak simulated to verify LLD performanc <br />(Check all that apply) Simulated leak rate: 3 g.p.h.; ❑ 0.1 g.p.h ; ❑ 0.2 g.p.h. <br />es <br />U. No* <br />Were all LLDs confirmed operational and accurate within regulatory requirements? <br />Y <br />O No* <br />Was the testing apparatus properly calibrated? <br />Er"Yes <br />❑ No* <br />❑ N/ <br />For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br />13 Yes <br />❑ o* <br />NIA <br />For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br />❑ Yes <br />❑ * <br />N/A <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabl <br />or disconnected? <br />❑ Yes <br />❑ VOC <br />JRrNIA <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctio <br />9rfails a test? <br />❑ es <br />❑ <br />N/A <br />For electronic LLDs, have all accessible wiring connections been visually inspected? <br />Yes <br />❑ No* <br />Were all items on the equipment manufacturer.'s maintenance checklist completed? <br />*In the Section H. <br />below. describe how and when these deficiencies were or will be corrected.. <br />Page 3 of 3 03101 <br />