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Monitoring System Certification v <br /> F. In-Tank GBUgiRg/SIR Equipment: ® Check this box if tank gauging is used only for inventory control. <br /> [I 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 following checklist: <br /> er entry and termination, including testing for ground faults? <br /> E] Yes El No* Has all input wiring been inspected for prop <br /> ❑ Yes ❑ No* 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 equipme,t 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): ❑ Clieck this box if LLDs are not installed. <br /> Flctetnu following checklist: <br /> For equipment start-up or annual equipment certification, was a leak simuAintem <br /> LLD performance? <br /> (Check all that apply) Simulated leak rate: ® 3 g.p.h.; ❑0.1 g.p.h ; ❑0.2 Were all LLDs confirmed operational and accurate within regulatory requirem* Was the testing apparatus properly calibrated? <br /> * For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> ❑ N/A <br /> ❑ Yes ❑ No* For electronic LLDs,does the Turbine automatically shut off if the LLD detec <br /> ® N/A <br /> ❑ Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if any portion ing system is disabled <br /> ® N/A or disconnected? <br /> ❑ Yes ❑ No* For electronic LLDs,does the turbine automatically shut.off if any portion ofg system malfunctions <br /> ® N/A or fails a test? <br /> ❑ Yes ❑ No* For electronic LLDs,have all or <br /> wiring connections been visually inspected? <br /> ® N/A <br /> ® Yes ❑ No* 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: o, Ul 1 n r . d Test 27 Q n I <br /> Page 3 of 3 <br />