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Monitoring System Certification <br /> F. In-Tank Gauging/SIR Equipment: 0 Check this box if tank gauging is used only for inventory control. <br /> R 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 leak detection monitoring. <br /> Complete the following checklist: <br /> • Yes 0 No* Has all input wiring been inspected for proper entry and termination,including testing for ground faults? <br /> • Yes 0 No* Were all tank gauging probes visually inspected for damage and residue buildup? <br /> • Yes 0 No* Was accuracy of system product level readings tested? <br /> • Yes 0 No* Was accuracy of system water level readings tested? <br /> El Yes 0 No* Were all probes reinstalled properly? <br /> 0 Yes 0 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 /> G. Line Leak Detectors (LLI)): 0 Check this box if LLDs are not installed. <br /> Complete the following checklist: <br /> 6 <br /> - Y 0 Yes��T - <br /> • No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br /> 0 N/A (Check all that apply) Simulated leak rate: 03g.p.h.; EIOAg.p.h; 00.2g.pA <br /> • Yes 0 No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> • Yes 0 No* Was the testing apparatus properly calibrated? <br /> • Yes 0 No* For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> 0 N/A <br /> El Yes 0 No* For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> 0 N/A <br /> D Yes 0 No* For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> 0 N/A or disconnected'? <br /> 0 Yes 0 No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system <br /> El N/A malfunctions or fails a test? <br /> 0 No* For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> 0 N/A <br /> 0 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 /> This system has no ATG monitoring, <br /> Emergency generator,suction system. <br /> Page 3 of 3 <br /> UN-036-3/4 www.unidoes.org Rev.01/17/08 <br /> ESH-EFA-TKS-1 8-15666-SM/EM:mw <br />