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Monitoring System CertiCcation <br /> F. In-Tank Gauging/SIR Equipment: �] Che::k this box if tank gauging is used only for inventory control. <br /> /[ Chea: - this box if no tank gauging or SIR equipment is installed. <br /> ,'his section must be completed if in-tank gauging e.quipmen; s used to perform leak detection monitoring. <br /> Complete the following checklist: <br /> ❑ Yes ❑ No* Has all input wiring been inspected for proper entre and termination,including testing for ground faults? <br /> ❑ Yes ❑ No* Were all tank gauging probes visually in.ipected for damage and residue buildup? <br /> ❑ Yes ❑ No; Was accuracy of system product level readings tested? , <br /> ❑ Yes ❑ No* Was accuracy of system water level readings testes? ---- <br /> ❑ Yes ❑ No Were all probes reinstalled properly? ll 1KI n 17i <br /> ❑ Yes ❑ No* Were ail items on the equipment manufacturer's m. intenance checklist completed? <br /> * In Section H,below,describe how and when these deficiencies were or will be corrected. <br /> G. Line Leak Detectors (LLD): ❑ Check this box if LLPs are not installed. <br /> C m fete the followin checklist: <br /> VY ❑ No* For equipment start-up or annual equipment er.ification, was a leak simulated to verify LLD performance? <br /> ❑ N/A (Check all that apply) Simulated leak nate: 3 g.p.h.; ❑0.1 g.p.h ; ❑0.2 g.p.h. <br /> ❑ No* Were all LLDs confirmed operational and ccurate within regulatory requirements? <br /> ❑ No* Was the testing apparatus properly calibrated" <br /> Yes ❑ No* For mechanical LLDs,does the LLD restrict prodz.ct flow if it detects a leak? <br /> ❑ NIA _. <br /> ❑ Yes ❑ No* For electronic LLDs,does the turbine automaticaliy shut off if the LLD detects a leak? <br /> NIA <br /> ❑ Yes No* For electronic LLDs, does the turbine -,utomatica,h shut off if any portion of the monitoring system is disabled <br /> N/A or disconnected? <br /> C) Yes C1 No* For electronic LLDs,does the turbine aatomatieai `,shut off if any portion of the monitoring system malfunctions <br /> 01 N/A or fails a test? <br /> ❑ Yes ❑ No* For electronic LLDs,have all accessibly°wiring cc nnections been visually inspected? <br /> N/A <br /> Yes ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? <br /> *In Section H,below,describe how and when these deficiencies were or will be corrected. <br /> H. Comments: ---- -- -— <br /> Pagt 3 (f 4 <br /> UN-036—516 fvb-w.mnidoc_(,rg Rev.01/17/08 <br />