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*RECEIVED NOV 0 2 2016 ENVIRONMENTAL HEALTH F. In-Tank Gauging 1 SIR Equipment: n Check this box if tank gauging is use I Q�f��j I. Check this box if no tank gauging or SI" i ib�ti feit. This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. Complete the following checklist; ❑ Yes ❑ No` Has all inputwiring been inspected for proper entry and termination,including testing for ground faults? ❑ Yes ❑ No* Were all tank gauging probes visually inspected for damage and residue buildup? D Yes ❑ No* Was accuracy of system product level readings tested? ❑ Yes ❑ No* Was accuracy of system water level readings tested? ❑ Yes ❑ No* Were all probes reinstalled properly? ❑ Yes ❑ No' Were all items on the equipment manufacturer's maintenance checklist completed? In the Section H,below,describe how and when these deficiencies were or will be corrected. G. Line Leak Detectors(LLD): ❑ Check this box if LLDs are not installed. Complete the following checklist: 0 Yes L No* For equipment start-up or annual equipment certification,was a leak simulated to verify LLD performance?(Check all NIA that apply) Simulated leak rate: 0 3 g.p.h.; ❑ 0.1 g.p.h; ❑0.2 g.p.h. ❑ Yes Q No* Were all LLDs confirmed operational and accurate within regulatory requirements? 0 Yes ❑ No* Was the testing apparatus properly calibrated? 0 Yes ❑ No* For mechanical LLDs,does the LLD restrict product flow if it detects a leak? ❑ NIA ❑ Yes ❑ No` For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? 0 NIA ❑ Yes ❑ No` For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or 0 NIA disconnected? Yes 0 No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or II NIA fails a test? ❑ Yes ❑ No` For electronic LLDs,have all accessible wiring connections been visually inspected? 0 N/A 0 Yes ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? *In the Section H,below,describe how and when these deficiencies were or will be corrected. H. Comments: Tank 1 Diesel South LLD was tested. Passd after an adjustment. The first testing of this LLD on 6/17/2016 failed because of excessive Line bleed back. I re laced the turbine syphon jet to allow dispenser pumping to clear trapped air pockets, 1500 ml of bleedback was noted at the test failure. Retested LLD on 8/8/2016 and passed with a minor adjustment of the LLD. 300 ml was noted. Monitoring System Certification Page 3 of 4 12107 2/21/07