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This section must be completed if in -tank gauging pment is used to perform leak detection monitoring. <br />rmmnlato the fnllnwinn checklist: <br />® <br />Yes <br />❑ <br />No' <br />Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br />® <br />Yes <br />❑ <br />No' <br />Were all tank gauging probes visually inspected for damage and residue buildup? <br />® <br />Yes <br />❑ <br />No' <br />Was accuracy of system product level readings tested? <br />® <br />Yes <br />❑ <br />No' <br />Was accuracy of system water level readings tested? <br />® <br />Yes <br />❑ <br />No' <br />Were all probes reinstalled properly? <br />® <br />Yes <br />0 <br />No` <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />i Section H, below, describe now ana when mese oenciencie, <br />le Leak Detectors (LLD): ❑ Check this box if LLDs are not installed. <br />n section r1, oeiow, aescnoe now aim wuan —vow-1-11-- <br />H. <br />voa-1-11 - <br />H. Comments: -- <br />Monitoring System Certification Page 3 of 4 2/21/07 <br />Monitoring System Certification <br />Complete the <br />following cnec <br />KOst: <br />For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? (Check all that apply) <br />Simulated leak rate: ® 3 g.p.h.; ❑ 0.1 g.p.h: ❑ 0.2 g.p.h. <br />® Yes <br />❑ No' <br />❑ N/A <br />® <br />Yes <br />❑ <br />No' <br />Were all LLDs confirmed operational and accurate within regulatory requirements? <br />® <br />Yes <br />❑ <br />No' <br />Was the testing apparatus properly calibrated? <br />® <br />Yes <br />❑ <br />❑ <br />No' <br />N/A <br />For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br />❑ <br />Yes <br />❑ <br />® <br />No` <br />N/A <br />For electronic LLDs. does the turbine automatically shut off if the LID detects a leak? <br />El <br />Yes <br />El <br />® <br />No* <br />N/A <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? <br />❑ <br />Yes <br />❑ <br />® <br />No' <br />N/A <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? <br />❑ <br />Yes <br />❑ <br />® <br />No' <br />N/A <br />For electronic LLDs, have all accessible wiring connections been visually inspected? <br />® <br />Yes <br />❑ <br />No' <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />n section r1, oeiow, aescnoe now aim wuan —vow-1-11-- <br />H. <br />voa-1-11 - <br />H. Comments: -- <br />Monitoring System Certification Page 3 of 4 2/21/07 <br />Monitoring System Certification <br />