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'F. In-Tank Gauging I SER Equipment: ❑ 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 /> B <br /> This section must be completed if'in-tank gauging equipment is used to perform leak detection monitoring. <br /> I ate the following checklist: <br /> Zf Yes ❑ No* Has all input wiring been respected for proper entry and termination,including testing for ground faults? <br /> Cf 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 ❑ No* Was accuracy of system water level readings tested? <br /> s ❑ No* Were all probes reinstalled properly? <br /> Yes ❑ No* Were all items an the equipment manufacturer's maintenance checklist completed? <br /> *In the Section H,below,describe how and when these defidmies were or will be corrected. <br /> G. Lute Leak Detectors(LLD): ❑ Check this box if LLDs are not installed. <br /> Complete the following ch <br /> Yes ❑ No* For equipment start-up or annual equipment cation, was a leak simulated to verify LLD performance? <br /> ❑ N/A (Check all that apply) Simulated leak rate: 3 g.p.h.; ❑0.1 g.p.h; ❑0.2 g.p h. <br /> Yes ❑ No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> Yes ❑ No* Was the testing apparatus properly calibrated? <br /> Yes ❑ No* For mechanical LLDs,does the LLD restrict product now if it detects a leak? <br /> ❑ N/A <br /> ❑ Yes ❑ * For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> 93" N/A <br /> ❑ Yes ❑ NO* For elecunnic LLDs,dam the turbine automatically shut off if any portion of the monitoring system is disabled <br /> e N/A or disconnected? <br /> ❑ Yes ❑Flo* For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions <br /> m'NIA or fails a test? <br /> ❑ Yes ❑ * For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> C�7 NIA <br /> Yes ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? <br /> *In the Semon K below,describe how and when these deficiencies were or will be corn <br /> IL Co nts: <br /> Page 3 of 3 03MI <br />