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JUN-24-2005-FR I 07: 26 AIS P. 005 <br /> Monitoring System Certification <br /> F. To-Tank Gauging/SIR Equipment: x Check this box if tar11r gauging is used only for inventory control, <br /> 0 Check this box if no tank gauging or SIR equipment is installed. <br /> This section must be completed if in-took gauging;equiprnerat is used to perform leak detection.monitoring. <br /> Cam lete the following checklist: <br /> ❑ Yes 0 No* I 1-,ia_s all input wiring been inspected for proper entry and terminations,including testing for ground fikuIts? <br /> L2 Yes 0 No* Were all tank gauging probe's visually inspected for damage and residue bfilldup? <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 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):. O Cbeck this box if LLDs are not installed. <br /> Complete the folio ing checklist: <br /> M Yes ❑ No* For equipment start-up or annual equipment certification, was a Ieak simulated to verify LLD pezfnznoartce? <br /> ❑ NIA (Check all that apply) Simulated leak rate: x 3 g.p.h.; ❑o.I g.p.h: ❑02 g.p.h, <br /> 0 Yes ❑ No* Were all J LDs confirmed operational and accurate within regulatory requirements? - - <br /> 0 Yes ❑ N'o* Was tate testing apparatus properly calibrated? <br /> f M Yes ❑ No's For Mechanical LLDs,does the LLD restrict product flow if it detects a IeW <br /> ❑ N/A <br /> O Yes 13 No* For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> 0 NIA <br /> ❑ Yes ❑ No* For electronic LLDs,does the turbine automatically shut off if any pottiou of the monitoring systetm is disabled <br /> l W N/A or disconnected? <br /> I� ❑ Yes U No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions <br /> I ® N/A or fails a test? <br /> ❑ Yes ❑ No* For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> lid NIA. <br /> I! ® Yes ❑ No` Were all items on the equipment manufacturer's maintenance checklist completed? <br /> *In the Section H,below,describe bow and wben these deficiencies were or will be corrected, <br /> H. Comments: <br /> I <br /> j UN-036-3/4 Page 3 of 3 <br /> Rev.06104101 <br /> I a <br />