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in-Tank Gauging/SIR Equipmo 6 <br /> ®Check tldis box if tank gauging is used only for inventory control. <br /> OCheck this box if no tank gauging or SIR equipment is installed. <br /> Complete the fallowin X checklist: <br /> •Yes El No* Has all input wiring been inspected for proper entry and termination,including testing for ground faults? <br /> •Yes ❑ No* Were all tank-gauging probes visually inspected for damage and residue buildup? <br /> ER Yes ❑ No* Was accuracy of system product level readings tested? <br /> 0 Yes El No* Was accuracy of system water level readings tested? <br /> Yes ❑ No* Were all probes reinstalled properly? <br /> Yes ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? <br /> G. Line Leak Detectors(LLD): <br /> El Check this box if LLDs are not installed and disregard the following section. <br /> 0 Yes El No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br /> F1 N/A (Check all that apply) Simulated leak rate: 0 3 gph; E]0.1 gph; n 0.2 gph. <br /> Yes 0 No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> 0 Yes El No* IWas the testing apparatus properly calibrated? <br /> ED Yes F1 No* For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> [:3 N/A <br /> 0 Yes 0 No* For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> 0 N/A <br /> F—I Yes 0 No* For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> 10 N/A or disconnected? <br /> El Yes 0 No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system <br /> 10 N/A malfunctions or fails a test? <br /> 0 Yes 0 No* For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> 0 N/A <br /> Yes ❑ 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 /> EL Comments: No Deficiencies. <br /> Page 3 of 3 03/01 <br />