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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 it no tank gauging or SIR equipment is installed. <br /> This section must be completed if in-tank gauging equipment is used to pertonn leak detection monitoring. <br /> Com lete the following checklist: <br /> x Yes No' Has all input wiring been inspected for proper entry and termination,including testing for ground faults? <br /> X Yes r No' Were all tank gauging probes visually inspected for damage and residue buildup? <br /> X Yes is No' Was accuracy of system product level readings tested? <br /> X Yes I No' Was accuracy of system water level readings tested? <br /> ,X Yes 1! No' Were all probes reinstalled properly? <br /> X Yes I 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 /> G. Line Leak Detectors(LLD): Check this box if LLDs are not installed. <br /> Com lete the following checklist: <br /> X Yes No' For equipment start-up or annual equipment certification,was a leak simulated to verify LLD performance?(Check all <br /> N/A that apply) Simulated leak rate: X 3 g.p.h.; 0.1 g.p.h; 0.2 g.p.h. <br /> X Yes ❑ No' Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> X Yes u No' Was the testing apparatus properly calibrated? <br /> X Yes D No' For mechanical LLDs,does the LLD restrict product Now if it detects a leak? <br /> t+ N/A <br /> Yes I No' For electronic LLDs,does the turbine automatically shut off i1 the LLD detects a leak? <br /> X N/A <br /> Yes n No' For electronic LLDs, does the turbine automatically shut off it any portion of the monitoring system is disabled or <br /> fX N/A disconnected? <br /> Yes 11 No' For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or <br /> X N/A fails a test? <br /> Yes C No' For electronic LLDs,have all accessible wiring connections been visually Inspected? <br /> X N/A <br /> X 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: <br /> Monitoring System Certification Page 3 of 4 1 2J0 <br /> 3 2/21/07 <br />