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F. In -Tank Gauging /SIR Equip <br />❑ Check this box if tank ing 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 leak detection monitoring. KWO <br />201 <br />Comniats the following chanklistt <br />d Yes <br />No* <br />Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br />❑� Yes <br />❑ No* <br />Were all tank gauging probes visually inspected for damage and residue buildup? <br />Yes <br />❑ No* <br />Was accuracy of system product level readings tested? <br />Yes <br />❑ No* <br />Was accuracy of system water level readings tested? <br />F.z_] Yes <br />❑ No* <br />Were all probes reinstalled properly? <br />0 Yes <br />❑ No* <br />Were all items on the equipment manufacturers maintenance checklist completed? <br />* In the Section H, below, describe how and when these deficiencies were or will be corrected. <br />G. Line Leak Detectors (LLD): W Check this box if LLDs are not installed. <br />Comoleta the following checklist: <br />❑ Yes❑ <br />No* <br />N/A <br />For equipment start-up or annual equipment ertification, ��ss a leak simulated to verify LLD performance? (Check all <br />that Simulated leak rate: 0 �0.1 U0.2g.p.h. <br />apply) g.p.h.; g.p.h ; <br />-77 Yes 7 <br />7 <br />No* <br />Were all LLDs confirmed operational and accurate within regulatory requirements? <br />Yes <br />No* <br />Was the testing apparatus properly calibrated? <br />_11 -Yes <br />No* <br />For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br />N/A <br />Yes <br />No* <br />For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br />N/A <br />❑ YesNo* <br />j� <br />O <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or <br />N/A <br />disconnected? <br />❑ Yes❑ <br />No* <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or <br />N/A <br />fails a test? <br />❑ Yes <br />❑ <br />No* <br />For electronic LLDs, have all accessible wiring connections been visually inspected? <br />N/A <br />Yes <br />Ll <br />No* <br />Were all items on the equipment manufacturers maintenance checklist completed? <br />- in the section n, osiow, oescrics now ana when these aenciencies were or wiii oe correctsa. <br />H. Comments: <br />Monitoring System Certification Page 3 of 4 12107 <br />