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1.40224-441 <br /> F. In-Tank Gauging!SIR Equipment: x Check this box if tank gauging is used only for inventory control. <br /> 0 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 /> Complete the following checklist: <br /> Yes [] No' Has all input wiring been inspected for proper entry and termination,including testing for ground faults? <br /> ff-Yes [] No` Were all tank gauging probes visually inspected for damage and residue buildup? <br /> Yes E] No' Was accuracy of system product level readings tested? <br /> �] Yes [] No" Was accuracy of system water level readings tested? <br /> Yes No' Were all probes reinstalled properly? <br /> Q 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): Check this box if LLDs are not installed. <br /> Complete the foli owing checklist: <br /> ]] Yes No` For equipment start-up or annual equipment certification,was a leak simulated to verify LLD performance?(Check ail <br /> NIA that apply) Simulated leak rate: 03 g.p.h.; []0.1 g.p.h, []0.2 g.p.h. <br /> i <br /> 0 Yes No' Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> [] Yes E] No' Was the testing apparatus properly calibrated? <br /> El Yes No' For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> N!A <br /> Yes HNo- For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> NIA <br /> Yes No' For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or <br /> NIA disconnected? <br /> Yes No" For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions or <br /> NIA fails a test? <br /> Yes Q No' For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> NIA <br /> Yes Q No" I 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 12!07 <br /> 3 2121107 <br />