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&TTIFR-RYAN INt. GR Job# 1820- 2542 <br /> SWRCB,January 2(ft <br /> F. In-Tank Gauging I SIR Equipment: EI Check this box if tank gauging is used only for inventory control. <br /> ❑ Check this box if no tank gauging or SIR equipment is installed <br /> This section must be completed if in-tank gauging equipment is used to perform teak detection monitoring. <br /> Complete the following checklist: <br /> ❑i Yes ❑ o Has all Input wiring been inspected for proper entry and temunation,including testing for ground faults? <br /> ❑ Yes ❑ No' Were all tank gauging probes visually inspected for damage and residue buldup? <br /> 0 Yes ❑ No' Was accuracy of system products levet readings tested? <br /> 0 Yes ® No' Was accuracy of system water level readings tested? <br /> I] Yes ® No' Were all probes reinstalled property? <br /> Yes U No' Were all items on the equipment manufacturer's maintenance checklist completed? <br /> •In the lection H,below,describe how and when these deficiencies were or will be corrected. <br /> G. Line Leak Detectors(LLD): ❑ Check this box if LLDs are not installed. <br /> Complete the following checklist: <br /> 0 as ® o ar equrpmen s -up or annual equipment certilication,was a leak simulated to verity EM pe onmance ec a <br /> ❑ NIA that apply/Simulated leak rate- ❑ 3 g.p.h. ❑ 0.1 g.p.h. ®02 g p h <br /> 0 Yes ❑ No' Were all LLOs confirmed operational and accurate within regulatory requirements? <br /> 0 Yes ® No' Was the testing apparatus properly calibrated? <br /> ❑ Yes ❑ NW For Mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> 0 NIA <br /> EI Yes ❑ No' For electronic LLDs,does the turbine automatically shut off If the LLD detects a leak? <br /> ❑ NIA <br /> 0 Yes ❑ No' For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system is disabled or <br /> ® NIA Disconnected? <br /> 0 Yes ® No' For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions or <br /> ® NIA fails a test? <br /> 0 Yes ❑ No' or electronic LLDs,have all accessible wiring connections been visually inspected? <br /> ❑ NIA <br /> 0 Yes I ❑ No` 1were all items on the equipment manufacturer's maintenance checklist completed? <br /> "In the Section H,below,describe Crow and when these deficiencies were or will be corrected. <br /> G. Comments: <br /> Monitoring System Certification Page 3 of d 12107 <br /> 3 <br />