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F'. In -Tank Gauging I SIR Equipment:. ® Check this box if tank ga is used only for inventory control. ❑ Check this box if no tank Ong or SIR equipment is Installed. 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 input wiring 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? ❑ 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 property? ❑ Yes ❑ No' Were all items on the equipment manufacturer's maintenance checklist completed? ' In Section H, below, describe how and when these deficiencies were or will be corrected. Line Leak Detectors (LLD): ❑ Check this box if LLDs are not installed. Comoleta the followino checklist: ® Yes ❑ No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? (Check all that apply) ❑ N/A Simulated leak rate: ® 3 g.p.h.; [10.1 g.p.h ; ❑ 0.2 g.p.h. ® Yes ❑ No' Were all LLDs confirmed operational and accurate within regulatory requirements? ® Yes ❑ No' Was the testing apparatus properly calibrated? ® Yes ❑ No' For mechanical LLDs, does the LLD restrict product flow if it detects a leak? ❑ N/A ❑ Yes ❑ No' For electronic LLDs, does the turbine automatically shut off If the LLD detects a leak? ® N/A ❑ Yes ❑ No' For electronic LLDs, does [tie turbine automatically shut off If any portion of the monitoring system Is disabled or disconnected? ® N/A ❑ Yes ❑ No' For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? ® N/A ❑ Yes ❑ No' For electronic LLDa, have all accessible wiring connections been visually inspected? ® N/A ® Yes ❑ No' Were all items on the equipment manufacturer's maintenance checklist completed? In Section H, below, describe how and when these deficiencles were or will -be corrected. Comments: Monitoring System Certification Page 3 of 4 2/21/07