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0 0 <br />F. In -Tank Gauging / 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 t is i Idle . <br />This section must be completed if in -tank gauging equipment is used to perform leak detection monitoring. <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? f ro a M <br />❑ <br />Yes <br />❑ <br />No* <br />,. <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 properly? <br />❑ <br />Yes <br />❑ <br />No' <br />Were all items on the equipment manufacturer's maintenance checklist completetl? <br />In Section H, below, <br />describe how and when these deficiencies were or will he enrrpefpn <br />Line Leak Detectors (LLD): <br />Comnipto fhp funned.... <br />❑ Check this box if LLDs are not installed. <br />® <br />Yes <br />❑ <br />❑ <br />No* <br />N/A <br />For equipment start-up or annual equipment certification, was a leak simulated to verifyLLD performance? Check all that apply) <br />Simulated leak rate: ®3 g.p.h.; ❑ 0.1 g.p.h ; ❑ 0.2 g.p.h. p ( ppy% <br />® <br />Yes <br />❑ <br />NO- <br />Were all LLDs confirmed operational antl 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 LLDs, does the LLD restrict product flow if 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 />® <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 disconnected? <br />El <br />Yes <br />Yes <br />❑ <br />® <br />N/A <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? <br />,❑ <br />Yes <br />❑ <br />No` <br />For electronic LLDs, have all accessible wiring connections been visually inspected? <br />® <br />N/A <br />® <br />Yes <br />❑ <br />No` <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />fn Section H, below, <br />describe <br />how and when these deficiencies were nr corn hp .n..n,..ew <br />H. Comments: <br />Monitoring System Certification Page 3 of 4 2121/07 <br />