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DEC-04-2008 02 :26 PM GETTLER—RYAN INC. 925 551 4770 P. 05 <br /> • • <br /> Monitoring System Certification <br /> F. In-Tank Gouging/ SIR Equipment: ® Check this box if tank gauging is used only for inventory control. <br /> ❑ Check this box if nu 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 /> Cl Yes ❑ No' Were all tank gauging probes visually inspected for damage and residue buildup? <br /> ❑ Yes ❑ No" Was accuracy o£system product level readings tested'? <br /> ❑ Yes ❑ No* Was accuracy of system water level readings tested? <br /> ❑ Yes FO No' Were all probes reinstalled properly'! <br /> ❑ Yes No" Were all items on the equipment manufacturer's maintenance checklist completed? <br /> "In the Section if,below,describe how and when these deficiencies were or will be corrected. <br /> G. Line Leak Detectors (LLD): ❑ Check this box if I.I.Ds are not installed, <br /> Complete the following checkllst: <br /> 0 Yes ❑ No" For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br /> ❑ N/A (Check all Mai app(v/ Simulated leak rate: ® 3 g.p.h.; I.1 il.l g.p.lt : 011.2 g.p,h. <br /> 0 Yes ❑ NO Were all LLDs confirmed operational:ted accurate within regulatory requirements? <br /> 0 Yes ❑ NO Was the testing apparatus properly calibrated? _ J� <br /> ❑ Yea ❑ No* For mechanical LI.Ds.does the LL.D restrict product tloxr 11`11 detects a ICA? <br /> 0 NA <br /> ® Yes ❑ No' For electronic 1..LDs, does the turbine dutomatiCal Iy,hut oIT if the LLD detects a leak? <br /> ❑ N, - <br /> 0 Yes ❑ No' For electronic I.LDs. does the turbine automatically shut off if any portion of the moniiorint,system is disabled <br /> ❑ N/A or disconnected? <br /> 0 Yes ❑ No" For electronic LLDs.does the turbine automatically shut off if any portion of the monitoring system malfunctions <br /> ❑ N/A or fails a test? <br /> LIOY ❑ NO For electronic I.I.D%. have all accessible wiring connections been visually inspected? <br /> ❑ N/A❑ 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: 9UZ-Systwn— <br /> Page 3 of 3 <br />