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00 Amldklmgk <br /> F.In-Tank Gauging/SIR Equipment: W Check this box If tank gauging is used only for inventory control. <br /> I 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 /> Complete the following checklist: <br /> r Yes r No* as all input wiring been inspected for proper entry and termination,including testing for ground faults? <br /> r Yes r No* Nere all tank gauging probes visually inspected for damage and residue buildup? <br /> r Yes r No* Nas accuracy of system product level readings tested? <br /> r Yes r No. Nas accuracy of system water level readings tested? <br /> C` Yes r No* rere all probes reinstalled properly? <br /> La Yes Ir No* ere all items on the equipment manufacturer's maintenance checklist completed? <br /> *In the Section H,below,describe how and when these deficlencles were or will be corrected. <br /> G.Line Leak Detectors(LLD): Check this box if LLDs are not installed. <br /> Complete the following checklist: <br /> t: Yes C No* For equipment start-up or annual equipment certificationwasa leak simulated to verify LLD performance?(Check all that <br /> r N/A apply)Simulated leak rate:P 3 g.p.h.; r 0.1 g.p.h; I 0.2 g.p.h. <br /> fo Yes r No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> rw Yes r No* Was the testing apparatus properly calibrated? <br /> r Yes C No* For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> F N/A <br /> r Yes r No* For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> r N/A <br /> R Yes r No* For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? <br /> r N/A <br /> Yes l" No* For electronic LLDs,does the turbine automatically shut off If any portion of the monitoring system malfunctions or falls a test? <br /> N/A <br /> C• Yes r No* For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> N/A <br /> r Yes r No* ere 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 /> H. Comments: <br /> Page 3 of 3 12/07 <br />