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RECEI VED <br />F. In -Tank Gauging / SIR Equipment: APR 0 9 2014 <br />R_ Check this box if tank gauging is used only for* Nntorr control. <br />F Check this box if no tank gauging or SIR equip <br />This section must be completed if in -tank gauging equipment is used to perform leak detection monitoring. rAVROH 01M83MAR E7MNtTWA L <br />?mplete the foll <br />hecklist <br />....._. __...._._..... __ .......... ._ <br />F Yes <br />r No* <br />Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br />F Yes <br />F No* <br />Were all tank gauging probes visually inspected for damage and residue buildup? <br />Yes <br />r No* <br />Was accuracy of system product level readings tested? <br />F Yes <br />I— No* <br />Was accuracy of system water level readings tested? <br />Yes <br />F No* <br />Were all probes reinstalled properly? <br />F Yes <br />F 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 />G. Line Leak Detectors (LLD): � Check this box if LLDs are not installed. <br />Complete the following checklist: _ <br />Yes <br />_* <br />�' No <br />Fq to verifyLLD performance?(Check <br />or equipment start-up or annual equipment certification, was a leak simulated <br />• N/A <br />all that apply) Simulated leak rate: F 3 gp.h.; F 0.1 g.p.h ; I— 0.2 g.p.h. <br />Yes <br />No* <br />Were all LLDs confirmed operational and accurate within regulatory requirements? <br />Yes <br />No* <br />Was the testing apparatus properly calibrated? <br />Yes <br />f— No* <br />For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br />FN/A <br />Yes <br />No* <br />For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br />N/A <br />F Yes <br />F No * <br />c s, oes e turne � <br />or electronic LLDdthe turbine <br />Flshut off if any portion of the monitoring system is disabled or <br />F N/A <br />disconnected? <br />r Yes <br />No* <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or <br />N/A <br />fai is a test? <br />F Yes <br />F No* <br />For electronic LLDs, have all accessible wiring connections been visually inspected? <br />N/A <br />Yes No* <br />Were all items on the equipment manufacturer's maintenance checklist completed? i <br />* In the Section <br />IL below, describe how and when these deficiencies were or willbe corrected. <br />H. Comments: <br />System. <br />