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1k: F.In-Tank Gauging/SIR Equipment. Check this box if tank gauging is used only for inventory control. L r Check this box if no tank gauging or SIR equipment is installed. is usedz'~Y operform leak detection monitoring.This section must be completed if in tank gauginga ulomen Complete the following checklist: Yes == No* Has all input wiring been inspected for proper entry and termination,including testing for ground faults? Yes No* Were all tank gauging probes visually inspected for damage and residue buildup? Yes No* Was accuracy of system product level readings tested? Yes No* Was accuracy of system water level readings tested? Yes No* ere all probes reinstalled properly? Yes No* 1were all items on the equipment manufacturer's maintenance checklist completed? *In the Section H,below,describe how and when these deficiencies were or will be corrected. G.Line Leak Detectors(LLD): Check this box if LLDs are not installed. Complete the following checklist: , Yes ,, No* For equipment start-up or annual equipment certification,was a leak simulated to verify LLD performance?(Check all that N/A apply)Simulated leak rate: !f;3 g.p.h.; r 01 g.p.h; 0.2 g.p.h. Yes ; No* Were all LLDs confirmed operational and accurate within regulatory requirements? Yes r No* Was the testing apparatus properly calibrated? M Yes r No* For mechanical LLDs,does the LLD restrict product flow if it detects a leak? N/A Yes r No* For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? N/A Yes r. No* For electronic LLDs that are programmed for positive shut down,does the turbine automatically shut off if any portion of the N/A monitoring system is disabled or disconnected? Yes =° No* For electronic LLDs that are programmed for positive shut down,does the turbine automatically shut off if any portion of the N/A monitoring system malfunctions or fails a test? :, Yes r No* For electronic LLDs,have all accessible wiring connections been visually inspected? Vit= N/A M Yes r No* Were all items on the equipment manufacturer's maintenance checklist completed? *In the Section H,below,describe how and when these deficiencies were or will be corrected. H. Comments: Page 3 of 3 12/07