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Nall <br />F. In -Tank Gauging / SIR Equipment: ® Check this box if tank gauging is used only for inventory control. <br />❑ Check this box Ono tank gauging or SIR equipment is installed. <br />This section must be completed if in -tank gauging equipment is used to perform leak detection monitoring. <br />[IYes <br />-_ •'-_..._._.._.. <br />❑ <br />No' <br />a .o......a.. <br />Has all input wiring been iinspected 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 properly? r 1'-+ • — _ _ _ _ <br />❑ <br />Yes <br />❑ <br />No' <br />Were all items on the equipment manufacturers maintenance checklist completed? <br />' In Section H, below, describe how and when these deficiencies wereor will be corrected. <br />Line Leak Detectors (LLD): ❑ Check this box If LLDs are not installed. <br />Cmm.l.t. thw fnllnwinn ranr4lieh <br />COULD For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? (Check all that apply) <br />Simulated leak rate. ® 3 g.p.h.; [10.1 g.p.h ; [10.2 g. p. h. <br />NOT Were all LLDs confirmed operational and accurate within regulatory requirements? <br />TEST Was the testing apparatus properly calibraledl <br />For mechanical LLDs, does the LLD restrict product flow d it defects a leak? <br />For electronic LLD$, does the turbine automatically shut off if the LLD detects a leak? <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? <br />For electronic LLDs, does the turbine automalicelly shut off ff any portion of the monitoring system malfunctions or fails a lest? <br />For electronic LLDs, have all accessible wining connections been visually inspected? <br />Were all items on the equipment manufacturers maintenance checklist completed? <br />In Section H, below, describe how and when these deficiencies were or will be corrected. <br />H. Comments: COULD NOT TEST LD's Pumps not working <br />Monitoring System Certification Page 3 of 4 2/21/07 <br />W1 <br />