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F. In-Tank Gauging t SIR Equipment: ® Check this box if tank gauging is used only for inventsqry�cont I. <br /> El Check this box if no tank gauging or SIR equipm ht islffSflllLf �" L <br /> This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. JUN <br /> y q <br /> Complete the following checklist: JUN 17 2016 <br /> ❑ Yes 2No* <br /> I..dhe. <br /> nput wiring been inspected for proper entry and termination,including testing for ground faults? rr c r r <br /> ❑ Yes tank gauging probes visually inspected for damage and residue buildup? <br /> ❑ Yes uracy of system product level readings tested? <br /> ❑ Yes uracy of system water level readings tested?❑ Yes probes reinstalled properly? <br /> ❑ Yes items on the equipment manufacturer's maintenance checklist completed? <br /> "In Section H,below,describe how these deficiencies were or will be corrected. <br /> Line Leak Detectors(LLD): ❑ Check this box if LLDs are not installed. <br /> Com fete the followin checklist: <br /> ® Yes ❑ No' For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? (Check all that apply) <br /> ❑ NIA 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 /> ® Yes ❑ No' Was the testing apparatus properly calibrated? <br /> ® Yes ❑ No' For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> ❑ N/A <br /> ❑ Yes ❑ No' For electronic LLDs,does the turbine automatically shut off tithe LLD detects a leak? <br /> ® N/A <br /> ❑ Yes ❑ No" For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? <br /> ® N/A <br /> ❑ Yes ❑ No' For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? <br /> ® NIA <br /> ❑ Yes ❑ No' For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> ® N/A <br /> ® Yes 1 ❑ No' I 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 /> ALL 3 LDS PASSED <br /> Monitoring System Certification Page 3 of 4 2/21/07 <br />