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F. - /SHt Equipment: U Check this box if tank VA40ng is used only for inventory control. <br /> Check this box if no tank gauging or SIR equipment is irmffled. <br /> This section must be completedif in-tank gauging equipment is used to paform leak detection monitoring. <br /> Complete the g checklist: <br /> IM Yes U No* Has all input wiring been inspected for proper entry and termination,including . for ground fitults? <br /> IM Yes Q No* Were all tank gauging probes visually inspected for damage and residuebuildup? <br /> Yes 13 No* Was accuracy of system level readings tested? <br /> ❑ Yes 0 No* Was accuracy of system water level readings tested? <br /> IM Yes L3 No* Were all probes reinstalled properly?. <br /> 191 Yes ❑ No* Were all items on the equipment er's maintenance checklist completed? <br /> xIn the Section H,below,describe how and when these deficiencies were or will be co <br /> G. Line_ a ): ❑ Check this box if LIDs are not installed. <br /> COM of <br /> Yes El No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br /> N/A (Check aU dw zWly) Simulated leak rate: 0 3 .p.h.; ❑0.1 g.p.h; Q 0.2 g.p.h. <br /> Yes No* Were all LLDs confirmed operational a within regulatoryrequirements? <br /> IM Yes ❑ No* Was the testmg apparatus pro ed? <br /> Yes ❑ No* For mechanical LLDs,does the LLD restrict product flow if it detects a <br /> Ll N/A <br /> Yes U No* For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> IM /A <br /> Yes ❑ o* For electronic LIDs,does the turbine automaticallyt off if any portion of the monitoring system is di led or <br /> IM N/A ed? <br /> ❑ Yes U No* For electronic LIDs, does the turbine automatically shut off if any portion of the monitoring system ctions <br /> N/A or Nis a test? <br /> El Yes U No* For electronic LLDs,have all accessible wmng connections been vi ? <br /> IM N/A <br /> IM Yes U No* Were all hems as s maintenance checklist completed? <br /> *In the Section M below,describe how and when these deliciencies,were or will be co <br /> H. Comments: <br /> A,djusted premium vaporless leak detector <br /> Page 3o3 1 <br />