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JUN-03-2009 09 :07 AN GETTLER—RYAN INC. 925 551 4770 P. 04 <br /> Monitoring System Certification <br /> F. [n-`Cank GauYrng/ ti1R I?quipmertt: ® Cheek this box if tank gauging is used only for inventory control. <br /> ❑ (_'heck this box if no tank F:auging or SIR equipment is irls1311cd, <br /> This section must be completed it'in--tank gain inn equipment is used to perform leak detection 1710mitoringl. <br /> Complete the following checklist: <br /> 0 Yes ❑ No" Has all input wiring been inspected for proper entry and termination, including testing for gro.tnd faults? <br /> ® Yes D No* Were all tank gauging prohes visually inspected for damage and resirlue buildup'.' <br /> ® Yes D No* Was accwnacy of system product lei el readings tested" <br /> ® Yes 11 No* Was accuracy ot'systern water level readings tested" <br /> Z Yes ❑ No'" Were all probes reinstalled properly" <br /> ® Yes C.] 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 /> C. Line Leak Detectors (I,I,D): ❑ check this box if L LDs are not installed. <br /> Com tete the foliowin checklist: <br /> -YtilY1M4./� <br /> 0 Yes ❑ No* For equipment start-up or annual equipment certification. was a leak simulated to verify i..t.I) perfgrmance, <br /> D N/A (Check all Mai apply) Simulated leak rate: ® 3 g,p,h.: r'7 0 1 g.p.h:L7 0.2 g,p,h, _-- <br /> 0 Yes 0 No* Were all L..LDs confirmed operational and accurate within regulatory requirements? <br /> ® Yes C7 No* Was the testing apparatus properly calibrated? <br /> p Yes F3 No* For mechanical i-Lx does the ILD restrict product tlow iris detects a leak?_ <br /> Z N/A <br /> ® Yes [] No* For electronic L.LDs.does the turbine automatically shut Off if the LLD detects a leak`? <br /> _ D N/A ---- <br /> 0 Yes [.] NO For electronic LL.Ds, does the turbine automatically shut oft'if any por1lon Of the monitorinL, system is disabled <br /> ❑ N/A or disconnected'?F <br /> ❑ Na* For electronic LLDs. does the turbine aulomaticalIN shut orf if ,mv portion of the monitoring systemN/A malfunctions or fails a test'Q No* For electronic LLLDs. have all accessible wiring connectionti been visually inspected'? <br /> 0 N/A 0 No* PWLre 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: 91 Oct, shutdown occurred in approx 25 seconds 87 Oct shutdown occurred in approx 23 seconds <br />