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3U VED <br /> P. In-Tank Gauging/SER Equipment: x Check this box if tank gauging is used only for inventory control. <br /> Check this box if no tank gauging or SIR equipment is installedPR 2 9 2015 <br /> This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. <br /> Complete the followingchecklist: NViRONMENTAI. <br /> OTA ACAtY <br /> - Yes ❑ No' Has all input wiring been inspected for proper entry and termination,including testing for ground faults? <br /> x Yes ❑ No' —w—ere all tank gauging probes visually inspected for damage and residue buildup? <br /> X Yes ❑ No' Was accuracy of system product level readings tested? <br /> x Yes No' Was accuracy of system water level readings tested? <br /> Yes No' Were ail probes reinstalled property? <br /> Yes No` Were all items on the equipment manufacturer's maintenance checklist completed? <br /> 'In the Section H,below,describe how and when these deficiencies were or will be corrected. <br /> G. Line Leak Detectors(LLD): x Check this box if LLDs are not installed. <br /> Complete the following checklist: <br /> ❑ Yes ❑ No- For equipment start-up or annual equipment certification,was a leak simulated to verify LLD performance?{Check all <br /> NIA that apply) Simulated leak rate: ❑3 g.p-h.: 00.1 g.p.h; 00.2 g.p.h. <br /> Yes No' Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> Yes No' Was the testing apparatus properly calibrated? <br /> Yes No' For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> N!A <br /> Yes No- For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> N/A <br /> Yes No' For electronic LLDs, does the turbine automatically shut off it any portion of the monitoring system is disabled or <br /> WA disconnected? <br /> ❑ Yes No' For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or <br /> N!A fails a test? <br /> ❑ Yes No' For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> WA <br /> Yes 0 No' Were all items on the equipment manufacturer's maintenance checklist completed? <br /> In the Section H,below,describe how and when these deficiencies were or will be corrected. <br /> H. Comments: <br /> Monitoring system Certification Page 3 of 4 t21Q7 <br /> 3 2/21/07 <br />