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I-, Eft -Tank Gauging 9 SIR Equipfnent- rr.ecK this box i? iank gauging is,uaod only for invRntory rontroi ck Chethis box if no tack gauging or SIR equipment is installed. Tnls section roust be completed it in -tante gauging equdpmer<t is used to erform teak detection monitoring. Complete the foliowi checklist: Yes NO ° Has all input wiring been inspected for proper entry and termination, including t�5ttng or ground faults' Yes No' Were ail tank gauging probes vi5uetly inspected #or damage and residue buildup? Yes Nt4' Was accuracy of system product level mading-s tested? Yes No` Was accuracy of system water level readings tested? Yes No' Were all probes reinstalled property? Yes No, Were tRl itEms on the ®quipment manufacturer's maintenance checklist completed? b 11, the Section H, below, describe now and when ttmse deiiclenclei5 were or will be corrected. G. Lino Leak Detectors (LLD), . Check: this box if LI -09 are not installeU, tha fnilawinn checklist' Yes No' For equipment start-up or annual equipment certification, was a leak sinnulat6d to v NIA thal apply) Simulated leak rate: .10 g.ta.h.; - 0.1 g.p.h ; ^ 0.2 g.p.h. Were all LLDs confirmed operational and accurate within rogulatory raqu re nonts? f Yes No' Yes ) No' Was the testing apparatus property caiibrated? _ i'; No" For mechanical LLDs, does the LLD 1 restrict product flow if it detects a leak? N/A - For electronic LLDs. does the turbine automatically shut off if the LLD detects a leak? � No' 7Ye NA rt No. For electronic PLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or NIA disaonnacted? t- No' For electronic LLDs, does the turbine automatically shutoff if any portion of the monitoring system maifianciions or NIA fails a test? Na' For etec�ronic LLDs, nava all accessible wiring connections been visually inspected? NIA C No* Were all items on the equipment manufacturer's maintenance checklist completed? - - in the ser-nan n, r)ety—, — IVIG 1— —v lo.. .- _ _. __ -- _ H. GO(ttrt1WAB: I Mcmitwina System Certification Page 3 of a 32107 3 2121107