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Mau 04 06 11:26a (202J 784-0112 p.4 <br />hionitering Systean Certification <br />Site Address: 1117' Y, C Pate ol"I""sting /Servicing: 4 <br />F. In -Tank Gauging /SIR Equipment: Check this box if tank gairging is used only for inventory control. <br />Q Check this box if no tank gauging or SIR equipment is installed, <br />This section must be completed it in -tank gauging equipment is used to perform Icak detection monitoring. <br />CornDlete the followins! checklist: <br />Yes <br />UP No* <br />Has all input wiring been inspected for proper enfi-y and termination, including lesting, for ground faults? <br />E3 Yes <br />Yes <br />U No* <br />Were all tank gau.-in.- probes visually inspected for damage and residue buildup'! <br />E" <br />U No* <br />WaS 2CCUr4lCy of system product level readings tested? <br />QNY'eYes <br />ess <br />Yes <br />Ell No* <br />Was accuracy of system water level readings tested'! <br />Q Yes <br />0 No* <br />Were all probes reinstalled properly? <br />de <br />1 <br />IfEal I items on the equipment manufacturer',,; maintenance checklist compicted7 <br />* to the Section H, below, describe how arid when (hese deficiencies were or will be corrected. <br />G. Line Lmk Detecton (LLD): U Check this box if I.I.N.ire not installed. <br />Camnlete the foUnwino aheelc*ct! <br />Yes., <br />A:r No* <br />For equipment start-up or annual equipment cqXtification. was a leak simulated to verify LLD performance? <br />13 NIA <br />(Check all that apply) Simulated leak ratoiArS rz.p.h.; C3 0.1 gp.h ; 13 0.2 cg.p.h. <br />Yes <br />U No* <br />Were all LLDs confirmed operational and accurate within regulatory requircments? <br />Yes <br />EI No* <br />Was the testing apparatus properly calibrated? <br />Q Yes <br />C1 No* <br />For mechanical LLDs, does the UA) restrict product flow if it detects a Icak? <br />de <br />N' <br />OF"'iA <br />Yes <br />Q No* <br />For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br />13 NIA <br />s <br />13 No* <br />For electronic LIAN, docs, the turbine automatically shut offil'any portion of the monitoring system is disabled <br />NIA <br />or disconnected? <br />❑ s <br />U No* <br />For electronic LLDs, docs the turbine automatically shut off if any portion of the monitoring sy,;tcrn <br />C) N/A <br />malfunctions or fails a test? <br />Yes <br />C1 No* <br />Il'or electronic LLIX;, have all acccssibic wiring connections been visizilly intrected7 <br />U NIA <br />I <br />cor Yes <br />L-- <br />11 No* <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />I In the bMlen 11, below, describe how and when these deficiencit% were or will be corrected. <br />H. Comments: <br />