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0 <br />im &FrrLER-RYA N INC. <br />0 GR .fob # 20-631623 <br />F. In -Tank Gauging 1 SIR Equipment: IS Check this box if tank gauging is used only for inventory control., j <br />Ll Check this box if no tank gauging or SR equipment is installed. � i L <br />This section must be completed if in -tank gauging equipment is used to perform leak detection monitoring. I +�� <br />Comolele the foflowlno cheeklll JUL L 1' 5 2015 <br />G. Line Leak Detectors (LLD): ❑ Check this box if LLDs are not installed. <br />Complete the following checklist: <br />❑ es ❑ o or equipment start-up or annual equipment certibrall was a leak simu a e o ve <br />❑ NIA that apply) Simulated leak rate: ❑ 3 g.p.h. ❑ 0.1 g.p,h. ❑ 0.2 g_p_h. <br />Yes ❑ No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br />Q Yes p No' Was the testing aoaaratus orooeriv calibrated'? <br />❑ Yes ❑ <br />Yes <br />❑ <br />o <br />Has all input wiring been inspected for proper entry and termination, including testing for ground faults? e s <br />Ig <br />Yes <br />❑ <br />No' <br />Were all tank gauging probes visually Inspected for damage and residue buildup? <br />JZ <br />Yes <br />❑ <br />No' <br />Was accuracy of system products level readings tested? <br />Ig <br />Yes <br />❑ <br />No' <br />Was accuracy of system water level readings tested? <br />Ig <br />Yes <br />❑ <br />No' <br />Were all probes reinstalled properly? <br />Yes <br />I ❑ <br />No• <br />Were all items on the equipment manufacturers maintenance checklist completed? <br />G. Line Leak Detectors (LLD): ❑ Check this box if LLDs are not installed. <br />Complete the following checklist: <br />❑ es ❑ o or equipment start-up or annual equipment certibrall was a leak simu a e o ve <br />❑ NIA that apply) Simulated leak rate: ❑ 3 g.p.h. ❑ 0.1 g.p,h. ❑ 0.2 g_p_h. <br />Yes ❑ No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br />Q Yes p No' Was the testing aoaaratus orooeriv calibrated'? <br />❑ Yes ❑ <br />No' <br />For Mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br />❑ <br />NIA <br />© <br />❑ Yes ❑ <br />No' <br />For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br />❑ <br />NIA <br />all items on the equipment manufacturers maintenance checklist completed? <br />0 Yes ❑ <br />No* <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or <br />❑ <br />NIA <br />Disconnected? <br />U <br />r..t <br />❑ <br />,*'� <br />NIA <br />+, �,��•,v,+.-.- .+��.r,�,�..+,,�a�wrauwy ar,ur ur, cr arty NUruurr Vr uec rnVnrrVuiry SySlCln rrlAqun6lfVn50r <br />fails a test? <br />Yes <br />© <br />No` <br />NIA <br />For electronic LLDs, have all accessible wiring connections been visually inspected? <br />❑ Yes <br />❑ <br />No' 1weFe <br />all items on the equipment manufacturers maintenance checklist completed? <br />In the Section H, below, <br />describe how and when these efleleneies were or will be corrected. <br />G. Comments: <br />' only sensors were tested after cold start <br />Monitoring System Certification Page 3 of 4 12107 <br />3 <br />TAS. <br />11_ <br />