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V4 <br /> F. In-Tank Gauging I SIR Equipment: ® 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 it in-tank gauging equipment is used to perform leak detection monitoring. <br /> Complete the following checklist: <br /> U7esEl No` Has all input wiring been inspected for proper entry and termination,including testing for ground faults? <br /> No` Were all tank gaugingprobes visually inspected for damage and residue buildup? <br /> No` Was accuracy of system product leve!readings tested? <br /> 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 Section H,below,describe how and when these deficiencies were or will be corrected. <br /> Line Leak Detectors(LLD): ❑ Check this box if LLDs are not installed. <br /> Complete the following checklist: <br /> ® YesAEIN/A <br /> For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? (CheItest? <br /> NIASimulated leak rate: ®3 g.p.h.: ❑0.1 g.p.h; ❑0.2 g.p.h. <br /> ® YesWere all LLDs confirmed operational and accurate within regulatory requirements? <br /> ® YesWas the testing apparatus properly calibrated? <br /> ® YesFor mechanical LLDS,does the LLD restrict product flow if it detects a leak? <br /> C:] <br /> ❑ Yes ❑ No, For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> ® NIA <br /> ❑ Yes ❑ No` For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system is disabled or discon <br /> ® N/A <br /> ❑ Yes ❑ No` For electronic LLDs,does the turbine automatically shut off€f any portion of the monitoring system malfunctions or rails <br /> � NIA <br /> ❑ Yes ❑ No" For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> ® N/A <br /> ® Yes ❑ No' Were all items on the equipment manufacturer's maintenance checklist completed? <br /> *In 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 2/21/07 <br />