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Work Order: 2256117 <br />Monitoring Systim Certlileati0a . Page 3 o1`3 <br />. :Site Address; <br />Date of Testinoarvicing: <br />In -Tank Gauging / SYR Equipment 0 Check this box if gauging is used only for inventory control. <br />0 Check this box . o tank gauging or SIR equipment is installed. <br />This section must be completed if in -tank gauging equipment is to perform leak detection monitoring. <br />i Com tete the followia chcelcUat: <br />F RYes D No* Has an input wiring been inspected for proper tryand termination, inclu test' for o <br />❑Yes R No* Were s12 tank y • p mg ground faults. <br />gauging probes visually nus ed for damage and residue buildup? <br />a Yes. O No" Was accuracy of system product level ings tested? <br />t' <br />13Y R No Was accuracy of system water Ievel dings tested? <br />10 Ye 0 A'o* Were all probes reinstalled pro ? <br />rayes 0 No' Were all items On the equr.pine manufacturer's maintenance checklist completed? <br />' La Section H below, describe how and when these deficiendq were or w3tl be corrected <br />G. Line beak Detectors (LLD): 0 Check this box if LLD's are not installed. <br />i. . <br />0 Yes <br />R No° <br />For equipment start-up or annual equipment caWWd 1 ' was a leak simulated to ver. LLD <br />❑ N/A <br />(Check oil thou apply) Simulated leak reste: R 3 h l.); a 0.l perf°rmance? <br />( g p.h. (2•); 0 0.2 g.p.h. (2.). <br />Notes: 1. Required for equipment start- top cation gird annual certificatiort. <br />2. Unless mandated b local a , certification re used ottty for electronic LLD <br />0 Yes <br />R No* <br />start-up. <br />Wen all LLD's confrmed eiatioaal accurate within r ato nquiremcnts? <br />0Yes <br />13 No* <br />Was the t nus e_1 c tod? <br />Yes <br />0 No* <br />For mechanical LI.D's, does the restrict product flow if it detects a leak? <br />0 NIA <br />a Yes <br />a A'o*- <br />For electronic LLD's, does th rbine automatically shut off if the LLD detects a leak? <br />a NIA <br />t7 Yes <br />0 No* <br />For electronic LLIYs, d the turbine automatically shut off.f any of <br />0 NIA <br />portion the monitoring system is disabled <br />or discotmectcd? <br />a Yes <br />0 No <br />For electronic LLD' tines the turbine automatically shut off if any of the <br />0 N/A, <br />portion moni toring <br />ntaLfimetions or ' a lost? system <br />oyes <br />0 No' <br />R NIA _ <br />For electronic 's, have all accessible wiring crooaeetions been visually <br />. y inspected. <br />0 Yes <br />0 NoO ` <br />Were ill.tems on the eq ' tnent manufacturer's maintenance checklist eon leted? <br />' In Section H below, describe how and when these de6ekneles were or wfQ be corrected. <br />H. Comments: <br />Tanknology Inc. 8501 N. MoPac Expressway, Suite 400, Austin, Texas 78759 <br />