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F. In -Tank Gauging) SIR Equipment:RA <br />® Check this box if tank gauging is used only for inventory con II `7 2016 <br />❑ Check this box if no tank gauging or SIR equipment is installed. <br />This section must he completed if in -tank gauging equipment is used to perform leak detection monitoring. �.v <br />Complete the following checklist: <br />❑ <br />Yes <br />❑ <br />No' <br />Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br />❑ <br />Yes <br />❑ <br />No' <br />Were all tank gauging probes visually inspected for damage and residue buildup? <br />❑ <br />Yes <br />❑ <br />No' <br />Was accuracy of system product level readings tested? <br />❑ <br />Yes <br />❑ <br />No' <br />Was accuracy of system water level readings tested? <br />❑ <br />Yes <br />❑ <br />No" <br />Were all probes reinstalled property? <br />❑ Yes ❑ <br />•In C—N—Y IFN ... <br />No' Were all items on the equipment manufacturers maintenance checklist completed? <br />Aw11 . •_ .... <br />Line Leak Detectors (LLD): ❑ Check this box if LLDs are not installed. <br />H. Comments: <br />Monitoring System Certification Page 3 of 4 2/21/07 <br />complete the <br />followino <br />checklist: <br />® <br />Yes <br />❑ <br />No' <br />For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? (Check all that apply) <br />❑ <br />N/A <br />Simulated leak rete: ® 3 g.p.h.; ❑ 0.1 g.p.h ; [10.2 g.p.h. <br />® <br />Yes <br />❑ <br />No' <br />Were all LI -Ds confirmed operational and accurate within regulatory requirements? <br />® <br />Yes <br />❑ <br />No' <br />Was the testing apparatus properly calibrated? <br />® <br />Yes <br />❑ <br />No' <br />For mechanical LI -Ds, does the LLD restrict product flow it it detects a leak? <br />❑ <br />N/A <br />❑ <br />Yes <br />❑ <br />No' <br />For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br />® <br />N/A <br />❑ <br />Yes <br />❑ <br />No` <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? <br />® <br />N/A <br />❑ <br />Yes <br />❑ <br />No` <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? <br />® <br />N/A <br />❑ <br />Yes <br />❑ <br />No' <br />For electronic LLDs, have all accessible wiring connections been visually inspected? <br />® <br />N/A <br />® Yes <br />❑ <br />No" <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />H. Comments: <br />Monitoring System Certification Page 3 of 4 2/21/07 <br />