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F In Tank Gauging / SIR Equipment: <br />11 <br />,* Check this box if tank gauging is used only for inventory controL <br />❑ Chea 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 pedonn leak detection monitoring. <br />Complete the foQowina cheddist; <br />• �. IAf 1 �. 1. 1 rr1 11. _I .Y .1 • 1 • • r rt 1 rr itI 1I .I • rs, r N:.t • t r+., ..,v• / •. J • 1t ro <br />® • • •. r Y. 1 •!. J t 1' • 1�. vl:. Iln •rY. .1 • •: /t .. .II 1 Y /'r.. ! t !+ f i <br />Was ==acy of System product level maditigs tested? <br />i� ■. • •. IYI • v. rll `.. r. ✓': 1 1 •J. `. �� rl i <br />®.. ■ •: r. r rlrw ♦•1 11 rl /111'It. rf rir:. I IY.. YI t. r . I:ir:. 1 r I; 11. YI .Y.1 ` ►� 1•.1 r rf <br />* In the Section $below, describe how and when these deficiencies were or will be eorrecfed. <br />G. Line Leak Detectors (LLD): ❑ Check this box if LLDs anti not installed. <br />e <br />Complate the foQo checklist: <br />Yes Cl No* For Oqu4mmt, start -hp or annual equiptneq cortificatim was a leak simulated to verify LLD petformanm? <br />® NIA (Check all that apply) Simulated leakrata 3 g p.$ : ❑ 0.1 g_ph ; ❑ 02 g p1L <br />Yes ❑ No* Were all ILDs confirmed operational and accurate within regulatory requirements? <br />Yes ® No* Was the testing apparatus property calibrated? <br />Yes ❑ No* For mechanical LIDS, does the LLD dict product flow if it detects a leak? <br />0 NIA <br />® Yes P No* For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br />❑ "YesC7 , No* For electronic LLDs f does the turbine automatically shut off if any portion of the monitoring system is disabled <br />NIA or disoonnetcV <br />❑ Yest(03 No* For electronic LIAs, does the turbine automatically shut off if any portion of the monitoring system malfunctions <br />NIA or fails a test? <br />0 Yes ❑ No* For electronic LLDs, have all accessible wiring connections been visually inspegted? <br />NIA <br />Yes . ®Na* Wcati all items oa the equipment hnanufactunx's mainteaance checldist oohhhpleted? ' <br />*.In the Section K below, describe how and when these deficiencies were or will be corrected. <br />H. Comments: <br />Parc 3 of 3 u Vil l <br />