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-Tank Gauging / SIR Eu ent: 'Check this box if tank gauging is used only for inventory control. <br />❑ Check this box if no tank gauging or SIR equipment is installed. <br />is section must be completed if in -tank gauging equipment is used to perform leak detection monitoring. <br />Uum fete the folio ing checklist: <br />❑ YesELT:No No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br />❑ Yes* Were all tank gauging probes visually inspected for damage and residue buildup? <br />❑ Yes ❑ No* Was accuracy of system product'level readings tested? <br />❑ Yes ❑ 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 />* In the Section 14_ hPf[ew_ Ance-rihr. hn_ .—A ...A sL--- �-c-__-- <br />_ .. ----- d-•d�r ..va,. cu. aca wv, c um w'il ue rurf ec[eu. <br />G. Lane Leak Detectors (LLD): ❑ Check this box if LLDs are not installed. <br />m lets the following checklist: <br />Yes ❑ No* For equipment start-up or annual equipment 501 fication, was a leak simulated to verify LLD performance? <br />❑ N/A (Check all that apply) Simulated leak rate: 3 g.p.h.; ❑ 0.1 g.p.h; ❑ 0.2 g.p.h. <br />lT Yes <br />❑ No*Were <br />all LLDs confirmed operational and accurate within regulatory requirements? <br />Yes <br />❑ No* <br />Was the testing apparatus properly calibrated? <br />For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br />For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled <br />or disconnected? <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions <br />or fails a test? <br />For electronic LLDs, have all accessible wiring connections been visually inspected? <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />Yes <br />❑ No* <br />❑ N/A <br />❑ Yes <br />❑ o* <br />IQ N/A <br />❑ Yes <br />❑ oto* <br />F N/A <br />❑ Yes <br />❑ No* <br />W_N/A <br />❑ Yes <br />❑ o* <br />IBJ N/A <br />Zr'Yes <br />❑ No* <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 03/01 <br />