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,. F. In-Tank Gauging /SIR rgttipmeut: l4 Check this box if tank gauging is used only for inventory control. <br /> U Chcck this box if'01 <br /> nk gauging or SIR equipment is installed. <br /> this section must be completed if in-tank 9,111ging eduipnnent is used to perform leak detection monitoring. <br /> complete the following checklist: <br /> O Yes O No* Has all input wiring been inspecteel for proper entryand termination, including testing for ground faults? <br /> O Yes Li No* Were all tank gauging probes visually inspecled for dannnge and residue buildup? <br /> O Yes O No* Was accuracy of system product level readings tested? <br /> O Yes O No* Was accuracy of system water level readings tested? <br /> O Yes 13 No* Were all probes reinstalled properly? <br /> O Yes ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? <br /> *In the Section II,below,describe how and when these deficiencies were or will be corrected. <br /> G. Line Leak Detectors (IAA)): U t•hrrk this box if VI A)s are not installed. <br /> Complete the following checklist: <br /> Yes <br /> ca' Q. No* For equipment start-up or anurml equipment ce cation, was a leak simulated to verify LLD performance? <br /> ❑ N/A (Check all that apply) Simulated leak rate: 3 g.p.h.; O 0.1 g.p.h ; 130.2 g.p.h <br /> Yes O No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> es ❑ No* Was the testing apparatus properly calibrated? <br /> Yes ❑ No* For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br /> ❑ N/A <br /> O Yes E3N * For electronic LLDs,does the turhine automatically shut off if the LLD detects a leak? <br /> N/A <br /> 3 Yes O No* For electronic LLDs, does the turhine automatically shut off if any portion of the monitoring system is disabled <br /> EY-N'/A or disconnected? <br /> 3 Yes O No* For electronic LLDs, does the hnrbine automatically shut off if any portion of the monitoring system <br /> U!"i4/A malfunctions or fails a test? <br /> 3 Yes ❑ No* For electronic LLDs, have all accessible wiring connections been visually inspected? <br /> 1101, Or N/A <br /> 3 Yes ❑ No* Were all items on the equipment manuf'acturer's maintenance checklist completed? <br /> In the Section H,below,describe how and when these deficiencies were or will be corrected. <br /> 1. Comments: <br /> Page 5 of 6 03/01 <br />