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Deq 1713 05:45a Reliable Petroleum 2098458953 P.5 <br /> 12/17/2013 9:19AM FAX 9252303 Guadalupe Sanchez fafjC004/0016 �" <br /> Monitoring System Certifi tatiun R I <br /> F. In-Tank Gauging/SIR Equipment: ® Check this box if tank gauging is used onlp"Ireatoq ol. <br /> ip Check this box op tank gauging or Sill equipmen TA <br /> This section must be completed if is-tank gauging equipment is used to perform leak d ENT <br /> Complete the following thecklist: HEALTH <br /> ❑ Yes ❑ No' Has all input wiring been inspected for proper entry and termination,including testing for ground faults?ElYes ❑ Not Were all tank gauging probes visually inspected for damage and residue buildup? <br /> ❑ Yes ❑ NO Was acmiracy of system product level readings tested? <br /> ❑ Yes ❑ NO Was accuracy of system water level readings tested? <br /> q Yes ❑ No* Were all probes rainstal led property? <br /> ❑ Yes ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? <br /> 'In the Section If,below,describe how and when these deficiencies were or will be corrected. <br /> G. Line Leak Detectors (LLD): ❑ Check this box if LLDs are not installed. <br /> Com tete the.o.oWiuji checkfiriq <br /> ® Yes ❑ No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br /> O N/A (Check all than apply) Simulated leak rate; 0 3 g.p.h.; D 0.1 g•p.h; ❑0.2 g p.h. <br /> Yes ❑ No* Were all LLDs confirmed uperationat and accurate within regulatory requirements? <br /> ® Yes ❑ No* Was the testing apparatus properly calibrated? <br /> ® Yes ❑ No* Por mechanical LLD',does the LLD restrict product flow if it detects a ieak? <br /> ❑ N/A <br /> ® Yes ❑ Ne* For electronic 1.LDs,does the turbiue automatically shut off if the LLD detects a leak? <br /> ❑ NIA <br /> ® Yes Q NO Por electronic LLDs,does the turbine automatically shut off if any portico of the monitoring system is disabled <br /> ❑ NIA or disconnected? <br /> • Yes ❑ NO For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system <br /> E7 NIA malfunctions or fails a test? <br /> • Yes ❑ No* ' For electronic L <br /> O N/A LDs,have all accessible wiring connections been visually inspected? <br /> ® Yes 1 ❑ No` Were all items on the equipment manufacturer's maintenance checklist completed? <br /> *In the Section]i,below,describe how and when these deficiencies were or will be corrected. <br /> H. Comments: <br />