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Tank Gauging / SIR Equipm Check this box if tank gau s used only for inventory control. <br />❑ 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 />Complete the followine checklist: <br />Yes <br />❑ <br />No* <br />Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br />Yes <br />❑ <br />No* <br />Were all tank gauging probes visually inspected for damage and residue buildup? <br />Yes <br />❑ <br />No* <br />Was accuracy of system product level readings tested? <br />es <br />❑ <br />No* <br />Was accuracy of system water level readings tested? <br />Ur Yes <br />❑ <br />No* <br />Were all probes reinstalled properly? <br />Yes <br />❑ <br />No* <br />Were all items on the equipment manufacturer's maintenance checklist completed? di <br />* In the Section H, below, describe how and when these deficiencies were or will be corrected. <br />G. Line Leak Detectors (LLD): <br />Com lete the following checklist: <br />❑ Check this box if LLDs are not installed. <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 03101 <br />❑ No* <br />For equipment start-up or annual equipment certification, was eak simulated to verify LLD performance? <br />60Yess- <br />❑ N/A <br />�h- <br />(Check all that apply) Simulated leak rate: ❑ 3 g.p.h.; ❑ 0.1 ❑ 0.2 g.p.h. <br />❑ No <br />LDs confirmed operational and accurate w' 'n regulatory requirements? <br />❑ No* <br />Was the testing appa o erly calibrated? <br />❑ Yes <br />❑ No* <br />For mechanical LLDs, does the LLD r roduct flow if it detects a leak? <br />❑ N/A <br />❑ Yes <br />❑ No* <br />For electronic LLDs, does the ine automatically shut off if t detects a ►eak? <br />❑ N/A <br />❑ Yes <br />❑ No* <br />For electronic LLDs, es the turbine automatically shut off if any portion of the monitoring system is disabled <br />❑ N/A <br />or disconnected? <br />❑ Yes <br />❑ No* <br />For electroni LDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions <br />❑ N/A <br />or fails a st? <br />❑ Yes <br />❑ No* <br />For electronic LLDs, have all accessible wiring connections been visually inspected? <br />❑ N/A <br />❑ Yes I <br />❑ No* <br />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 />H. Comments: <br />Page 3 of 3 03101 <br />