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F In-Tank Gauging/SIR ui t: ❑ . <br /> �l P Check this box if tank gauging rs used only for inventory coatroL <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 /> m fete the following checklist: <br /> LLYC."sm <br /> ❑ No* Has all Mput wring been' far proper entry and termination;mciuding listing for ground faults? - -- <br /> ❑ No* Wein all tank gauging probes visually for damage and residue buildup?-- — -- - <br /> Cl No* Was of system level tested? <br /> ❑ No* Was accuracy of system water level rradings tested? <br /> ❑ No* Were all probes properly? <br /> all items on the equipment manufacturces maintenance checklist completed? <br /> *In the Section H,below,describe how and when theme deficiencies were or will be corn ec&d. <br /> G. Line Leak Detectors(LLD): ❑ Check this box if <br /> 11-Ds are not installed. <br /> -Complete the folio ' the ddist: <br /> O..YCa ❑ No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br /> ❑ N/A (t:heck aU that apply) Simulated leak rate: W3 g p h.; ❑0.1 g p h; ❑02 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 LIA restrict product flow if it detects a leak? <br /> ❑ N/A <br /> ❑ Yes ❑ No* For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> N/A <br /> ❑'`Yes 0 No* For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> N/A or disconnected? <br /> ❑ Yes ❑ No* For ekxAronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions <br /> N/A or fails a test? <br /> ❑ Yes ❑ <br /> rNo* For electronic LLDs,have all accessible wring connections been visually inspected? <br /> Al N/A <br /> Yes . ❑ No* I Were all items on the equipment manufactunst's maintenance checklist completed? <br /> *In the Section H,below,describe how and when these deficiencies were or will be corrected. <br /> H. Comments: - <br /> Pa-,c 3 of 3 <br /> �,;? ,.. .:+. <br />