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1- • 0 <br /> F. In-Tank Gauging/SIR Equipment: ® Check this box if tank gauging is used only for inventory control. <br /> ❑ Check this box if no an gauging or SRECEIVED <br /> pypi�eol , S D <br /> This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. ��RRJJ LLCC �\W// <br /> Complete the following checklist: <br /> ❑ Yes ❑ No" Has all input wiring been inspected for proper entry and termination,including testing for ground faults? <br /> ❑ Yes ❑ No` Were all tank gauging probes visually inspected for damage and residue buildup? <br /> ❑ Yes ❑ No` Was accuracy of system product level readings tested? ENVIRONMENTAL HIALTH <br /> ❑ Yes ❑ No` Was accuracy of system water level readings tested? DEPARTMENT <br /> ❑ Yes ❑ No" Were all probes reinstalled properly? <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 /> Are Leak Detectors(LLD): ❑ Check this box if LLDs are not installed. <br /> Complete the followingchecklist: <br /> ® Yes ❑ NO <br /> For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? (Check all that apply) <br /> ID N/A' <br /> Simulated leak rate: ®3 g.p.h.; ❑0.1 g.p.h; ❑0.2 g.p.h. <br /> ® Yes ❑ No" Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> ® Yes ❑ No" Was the testing apparatus properly calibrated? <br /> ® Yes ❑ No` For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> ❑ N/A <br /> ❑ Yes ❑ No` For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> ® N/A <br /> ❑ Yes ❑ No" For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? <br /> ® N/A <br /> ❑ Yes ❑ No` For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? <br /> ® N/A <br /> ❑ Yes ❑ No` For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> ® N/A <br /> ., ® Yes ❑ No" I 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 /> ALL 4 LDS PASSED <br /> Monitoring System Certification Page 3 of 4 2/21/07 <br />