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Maaitoring System CertiCta'ttiorr <br /> Check this box if Uwk gauging is used only*4 istventor 2016 <br /> F_ In-Tank Gauging(SIR Equipment. Cherie this box if no tank gauging ur Slat egorpme"t is installed. �A� <br /> UNMEN <br /> all ing et uiptmeni i5 used to perform lert leak detectXomp naos,�TeAr-�°T <br /> This section must be completedin-tank i� g <br /> Complete the fotl(swinag checklist: g �faults? <br /> all' ut wiring limen inspected for proper entr act termination,inclucl testing for <br /> ❑ Yes [] No Etas mP <br /> No were all tank gauging probes visually illspected for damage and resides buildup? <br /> p Yes t7 <br /> Yes l� 1\to Was - <br /> accuracy of system product level reraclings <br /> ❑ # --- <br /> ,� r of s stem water level resdlags end? <br /> p Yes t� Na Was accuracy Y� ._� <br /> ❑ Yts D No" Were all probes reinstalled properly`? <br /> C-3Yes C7 Not Were all items on the equipment manufacture-e,ttndniYttetrattc�citccl list corulalcted? <br /> "in Section ,below,d scribe how RAd when these deft,iencles were oar will ire earmded, <br /> G. Lime Leak Detectors(]LLD): Check thio fox if.LLits are not justailed- <br /> Corn lets the followin c6eelsl:st: was rn leak Simulated to verify LLD performance? <br /> 'Ye5 Cl p'or equiPcr�eut start-up iii annual eq:s�pment eerlification, �.2 h <br /> Pd� ' Sixtttaiated teak1 r' te: 3 g.p.h.: M 0.1 g.p.h; ❑ g•p• _ --- <br /> ❑ N/A (Check all that a 4l) — <br /> No Were all LLDs con&med operational and ac=ate within regulatory requirements? <br /> Yes Q " ` <br /> Yes Cl No* Was the testing apparatus properly catrl;rated <br /> Yes 11 r(o+ For mecharnical LLDs,does the LLD restric"prodiu t Bow if it detects t3 iexlc'l <br /> E] Yes El No* For electronic,LLDs,does the turbine a�Ittrmat%calrv'shat off if thaw LLD du-facts a leak? <br /> NIA T rtion of the mtYniWring s75tent is disabled <br /> [] Yes ❑ No" For electronic LIDS, does ttz turbine Dutomatica;ly sltirt off if any pa <br /> NIA or disconnected? <br /> ..------^--------"�` portion c?f the monitoring systeffi nv�.lfumctions <br /> Q Yes © No" For electmlic Ll Ds,does the turbine aatonabtnea IY shut off if any p <br /> NIA or fails a test? <br /> Q Yes Q No <br /> For electronic LLDs,have all acceqAbl,y wiring ;rmections been visually irngPecte&! <br /> Yes El No's Were all items on the equipUintet,ance checklist campleteci? <br /> " [r� <br /> Section.11,betow,describe how and when the3e deliciencies were or will be corzceted. <br /> H. Comments: <br /> .__ <br /> P$ge 3 A 4 <br /> frau.4 Xl17JU91 <br /> tJlY.4:i5_S!(, wwsa_unidnrQ.arig <br />