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F. In -Tank Gauging / SIR Equipmefft: <br />® Check this box if tank gauging is used only for Inventory control. <br />❑ Check this box if no 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 />® Yes <br />O No* <br />Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br />® Yes <br />❑ No* <br />Were all tank -gauging probes visually inspected for damage and residue buildup? <br />® Yes <br />O No* <br />Was accuracy of system product level readings tested? <br />® Yes <br />❑ No* <br />Was accuracy of system water level readings tested? <br />® Yes <br />❑ No* <br />Were all probes reinstalled properly? <br />® Yes <br />❑ No* <br />ere all items on the equipment manufacturer's maintenance checklist completed? <br />G. Line Leak Detectors (LLD): ® Check this box if Leak Detectors are not installed. <br />r.mmnletP, the following checklist: <br />❑ Yes ❑ N/A <br />For equipment start-up or annual equipment certification was a leak simulated to verify LLD performance? <br />❑ No* <br />(Check all that apply) Simulated leak rate: ❑ 3.0 GPH; ❑ 0.2 GPH; ❑ 0.1 GPH <br />❑ Yes ❑ No* <br />Were all LLDs confirmed operational and accurate within regulatory requirements? <br />❑ Yes O No * <br />Was the testing apparatus properly calibrated? <br />❑ Yes O N/A <br />O No* <br />For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br />❑ Yes ❑ N/A <br />O No* <br />For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br />❑ Yes ❑ N/A <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled <br />O No * <br />or disconnected? <br />❑ Yes ❑ N/A <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a <br />❑No* <br />est? <br />0 Yes <br />❑ No* O N/A <br />For electronic LLDs, have all accessible wiring connections been visually inspected? <br />❑ Yes O No* <br />ere 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 />Monitoring System Certification Page 3 of 3 3/01 <br />