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F. to -Tank Gauging / SIR Equipment: i i Check this box if tanka i <br />g ug ng is used only for inventory control. <br />I I Check this box if no tarn 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 />Com ete the foil lowl c ist: <br />❑ Yes - No. Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br />n 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 />n Yes - No' Was accuracy of system water level readings tested? <br />❑ Yes - No' Were all probes reinstalled properly? <br />In Yes - No' Were all items on the equipment manufacturers maintenance checklist completed? <br />' In the Section H, below, describe how and when these deficiencies or will tse corrected. <br />G. Line Leak Detectors (LLD): n Check this box if LLDs are not installed. <br />i <br />- No' For equipment start-up or annual equipment certification, was a leak s <br />N/A that apply) Simulated leak rate: g.p.h.; n O.t g.p.h ; - 0.2 <br />9•R•h- <br />No'Were ail LLDs (4:1nfimtill operational and accurate within regulatory rek <br />No' Was the testing apparatus properly calibrated? <br />No' For mechanical LLDs, does the LLD restrict product flow if it detects a I <br />- N/A <br />- No' For electronic LLDs, does the turbine autnmatirrofk, <br />A <br />No' <br />For electronic LL <br />WA <br />disconnected? <br />-ZFor <br />electronic LL <br />_ <br />fails a test? <br />- No' <br />N/A <br />For electronic LU <br />- No' <br />Were all items on <br />to <br />a <br />any portion of the monitoring system is <br />any portion of the monitoring system mal <br />monitoring system Certifficaflon <br />Page 3 of s <br />12/QT <br />3 2/21/07 <br />or <br />or <br />