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rir ir7 rt-uuK 1 HUt YJ4 <br /> F. In-Tani: Gauging/SIR Equipment: O'Check this box if tank gauging is used only for inventory control. <br /> O 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 /> Com lete the foIto evin checklist: <br /> El-yes O No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults'? <br /> Yes 0 No* Were all tank gauging probes visually inspected for damage and residue buildup? <br /> 9"Yes O No* Was accuracy of system product level readings tested? <br /> .2'"Yes 0 No* Was accuracy of system water level readings tested? <br /> 2-Yes O No* Were all probes reinstalled properly? <br /> .0'"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 /> G. Line Leak Detectors (LLD): O Check this box if LLDs are not installed. <br /> Com let-the foliowin checklist: <br /> 0 Yes .0"No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br /> 0 N/A (Check all that apply) Simulated leak rate: I n g.p.h.; 0 0.1 g.p.h; 0 0.2 g.p.h. <br /> a-Yes D No` Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> ides 0 No* Was the testing apparatus properly calibrated? ! <br /> Ycs ® No" For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> 0 N/A <br /> Cl Yes O No* For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> Ll- /A <br /> ❑ Yes Cl No* For electronic LLDs, does the turbine automatically shat off if any portion of the monitoring system is disabled <br /> p-N/A or disconnected? <br /> Q Yes 0 No' For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions <br /> ;)--N/A of fails a test'? <br /> Yes 0 No* for electronic LLDs,have all accessible wiring connections been visually inspected? <br /> ,:�--N/A <br /> 'Yes 0 No' Were all items on the equipment manufacturer's maintenance checklist completed? !I <br /> " In the Section H,below,describe how and when these deficiencies were or will be corrected. <br /> H. Comments: u m P 1 D a°4s-4 *k <br /> Page 3 of 3 03i0 1 <br />