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F. In -Tank Gauging / SIR Equipment: X Check this box if tank gauging is 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 />(`mm�lnto fhn fnllnwinn rhnr_klicf• <br />* In the Section H. below, describe how aha when these aenclencies were or win <br />Yes <br />❑ <br />L <br />No* <br />N/A <br />Has all input wiring been inspected for proper entry and termination, including testing for ground faults( <br />X Yes <br />U No*v <br />X <br />Yes <br />I.:i <br />No* <br />Were all tank gauging probes visually inspected for damage and residue buildup? <br />X <br />Yes <br />, <br />No* <br />Was accuracy of system product level readings tested? <br />X <br />Yes <br />❑ <br />No* <br />Was accuracy of system water level readings tested? <br />X <br />Yes <br />n <br />No* <br />Were all probes reinstalled properly? <br />X <br />Yes <br />l 1 <br />No* <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />L <br />X <br />No* <br />N/A <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or <br />fails a test? <br />i 1 <br />Yes <br />G. Line Leak Detectors (LLD): <br />Complete the foilowina checklist: <br />oe correctea. <br />(X) Check this box if LLDs are not installed. <br />X <br />Yes <br />❑ <br />L <br />No* <br />N/A <br />For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? (Check all <br />that apply) Simulated leak rate: X 3 g.p.h.; n 0.1 g.p.h ; n 0.2 g.p.h. <br />X <br />Yes <br />n <br />No* <br />Were all LLDs confirmed operational and accurate within regulatory requirements? <br />X <br />Yes <br />n <br />No* <br />Was the testing apparatus properly calibrated? <br />X <br />Yes <br />L <br />n <br />No* <br />N/A <br />For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br />n <br />Yes <br />1 1 <br />X <br />No* <br />NIA <br />For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br />F) <br />Yes <br />[ <br />X <br />No* <br />N/A <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or <br />disconnected? <br />H <br />Yes <br />L <br />X <br />No* <br />N/A <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or <br />fails a test? <br />i 1 <br />Yes <br />n <br />X <br />No* <br />NIA <br />For electronic LLDs, have all accessible wiring connections been visually inspected? <br />X <br />Yes <br />U <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 wni ne correctea. <br />H. Comments: <br />Monitoring System Certification <br />Page 3 of 4 <br />12107 <br />3 2/21 /07 <br />