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F.In-Tank Gauging/SIR Equipment: <br /> Check this box if tank gauging is used only for inIVED <br /> ventory con ro. <br /> FCheck this box if no tank gauging or SIR equipment is inAf kdo 9 1 <br /> This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. ENVIRONMENTAL <br /> Complete the followm checklist: HEALTH DEPARTMENT <br /> Yes f— No* Has all input wiring been inspected for proper entry and termination,including testing for ground faults? <br /> r Yes F No* Were all tank gauging probes visually inspected for damage and residue buildup? <br /> F Yes F No* Was accuracy of system product level readings tested? <br /> Yes F No* Was accuracy of system water level readings tested? <br /> Yes No* Were all probes reinstalled properly? <br /> F Yes F No* 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): F Check this box if LLDs are not installed. <br /> Complete the following checklist: _ <br /> Yes No* For equipment start-up or annual equipment certification,was a leak simulated to verify LLD performance?(Check <br /> N/A all that apply)Simulated leak rate: F 3 gp.h.; F 0.1 g.p.h; F 0.2 g.p.h. <br /> r— Yes F No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> Yes F No* Was the testing apparatus properly calibrated? <br /> r Yes F No* For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> N/A <br /> r Yes F No* For electronic LLDs,does the turbine automatically shutoff if the LLD detects a leak? <br /> • Yes F No* For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system is disabled or <br /> N/A disconnected? <br /> r Yes F No* For electronic LLDs,does the turbine automatically shut off if any porti on of the monitoring system malfunctions or <br /> N/A fails a test? <br /> µYes F No* For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> N/A <br /> Yes F No* Were all items on the equipment manufacturer's maintenance checklist completed? <br /> *IntheSection H,below,describehow and when these deficiencies were or will be corrected <br /> H. Comments: <br /> Suction System. <br />