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Monitoring S,% stem Certification <br />F. In -Tank Gauging/ SIR Equipment: Z Chcck this box if tank g- .aging is used only tear inventory control <br />Ei check this hos it'no tank or SIR equipment is installed. <br />-I'll'Is section inUS1 he completed ifin-tank, patiging equipment is used to pci-l'Orni leak detection monitoring, <br />__ C� <br />Complete the following checklist: <br />❑ Yes I <br />El No' <br />I las Fill input \kirink, been inspected for proper' mirk anciterinination, inclUdilh-1 test ilh! forground tats is"' <br />❑ Yes <br />❑ No* <br />lk inspected for damage an <br />Were all tank-amuing probes ,,i,suad residue buildup" <br />Z Yes <br />NO* <br />`kaSaCCUL­ac ofs\stern product level readingstcsted? <br />El Yes <br />0 No* <br />Was accuracy ofs�stcin "aler lc\el readings tested'.' <br />E] yes <br />F-1 No* <br />Were all prohereinstalled properly'' <br />E] Yes <br />0 o <br />\k ere all items on the e(iLlipo)Cot HlJoklfidUrCr's maintenance checklist completed'! <br />* In the Section 11, below, describe now ano wnen inese uericiencics were ov rkull upt: Lill 1%A tv . <br />C;. <br />%Atv- <br />C. Line Leak Detectors El Check lhi,, ho\ if I I I), are not installed. <br />E. Yeti 1 <br />F- <br />j No <br />For equipment start-up or annual equipment certilication, %%as a je�j' _,jilikilated CO vcrit',� I 1 1) perforniance.' <br />E] N , �N <br />'1(/ '11"' "IT4" S"llukited leak rate: Z 0. 1 -P -ll : 10.2 u -PA). <br />I I <br />Z Yes <br />El No* <br />— <br />1k ere all ITI)s contirmcd operational and accurate vsithin rcl_Ldatory requirements') <br />E] Yes <br />E:1 No* <br />Was the testim-, apparatus properl,, calibrated? <br />E] Y cs <br />[I No* <br />I or inechanical IAA)s, dock , the [TD restrict product flo%% it it detects a leak? <br />Z N A <br />M Yes <br />0 No* * <br />I of. electronic HDS' does the turbine automaticall\ slita off` ifthe IAD detects a leak? <br />0 NA <br />— - ----- <br />Z Yes <br />0 No* <br />I'or electronic H -Ds, does the turbine autoniaticalk 5!)Ln Offit'UM portion of the niowjonn_,, is disabled <br />[I N A <br />or disconnected'.' <br />• Yes <br />El No* <br />For electronic ITI)s. does the turbine automaticalk shut off i l'am portion ofthe monitorini-, system malfunctions <br />or tails a test". <br />• Yes <br />❑ No* <br />Nor electronic H,Ds, have all accessihle irim, connections been isuall% inspected? <br />j N <br />_j N <br />L❑L <br />Z Y c s <br />❑ No* <br />------- - <br />4k cre all itenis on the eqUiprTICIll manufacturer's maintenance checklist completed? <br />