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MAR 0 3 20':" <br /> F.In-Tank Gauging/SIR Equipment: r Check this box if tank gaugingti � r i0*9 ry tnra"'t;'"f <br /> r Check this box if no tank gauging or SIRipnient.is d ' <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 No* Has all input wiring been inspected for proper entry and termination,including testing for ground faults? <br /> o 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 /> o Yes No* Was accuracy of system water level readings tested? <br /> F Yes No* ere all probes reinstalled properly? <br /> Yes 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 /> G.Line Leak Detectors(LLD): w Check this box if LLDs are not installed. <br /> Complete the following checklist: <br /> • Yes r No* For equipment start-up or annual equipment certification was a leak simulated to verify LLD performance?(Check all that <br /> N/A apply)Simulated leak rater 3 g.p.h.; r 0.1 g.p.h; 0.2 g.p.h. <br /> o Yes r No* Nere all LLDs confirmed operational and accurate within regulatory requirements? <br /> Go Yes r No* Nas the testing apparatus properly calibrated? <br /> Yes r No* For mechanical LLDs,does the LLD restrict product Flow if it detects a leak? <br /> V2, N/A <br /> ITO Yesr;11 <br /> No* For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> N/A <br /> • Yes r No* For electronic LLDs that are programmed for positive shut down,does the turbine automatically shut off if any portion of the <br /> N/A monitoring system is disabled or disconnected? <br /> o Yes r No* For electronic LLDs that are programmed for positive shut down,does the turbine automatically shut off if any portion of the <br /> N/A onitoring system malfunctions or fails a test? <br /> e Yes r No* For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> N/A <br /> • Yes No* Fere 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 />