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Jan 08 1507:01a Radius PetrolejWio Services 2Q&474-9171 p.3 <br /> it V <br /> F. In-Tank Gauging/SIR Equipment: X 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 leak detection monitoring. <br /> Complete the following cheeky: <br /> X Yes ❑ No* Has all input wiring been inspected for proper entry and termination,including testing for ground faults? <br /> Yes ❑ No* Were all tank gauging probes visually inspected for damage and residue buildup? <br /> X Yes C No* Was accuracy of system product level readings tested? <br /> X Yes C No* Was accuracy of system water level readings tested? <br /> 1K Yes C No* Were all probes reinstalled property? <br /> X Yes 1C No` Were all items on the equipment manufacturer's maintenance checklist completed? <br /> *In the Section H,below,describe haw and when these deficiencies were or will be corrected. <br /> G. Line Leak Detectors(LLD): X Check this box if LLDs are not installed. <br /> Com late the Mollowina checkiist: <br /> ❑ Yes :i No* For equipment start-up or annual equipment certification,was a leak simulated to verify LLD performance?(Check af! <br /> N!A that apply) Simulated leak rate: C 3 g.p.h.; ❑0.1 g.p.h; 0.2 g.p.h. <br /> C Yes ❑ No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> ❑ Yes No* Was the testing apparatus properly calibrated? <br /> ❑ Yes ::i No* For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> ❑ NIA <br /> a Yes ❑ No* For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> C NIA <br /> :1 Yes is No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or <br /> C KA disconnected? <br /> ❑ 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 /> Yes ❑ No" For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> Li N;A <br /> ❑ Yes No* Were all items on the equipment manufacturer's maintenance checklist completed? <br /> .In the Section H,below,describe how and when these deficiencies were or will be corrected. <br /> H. Comments: <br /> Monitoring System Certification Page 3 of 4 12107 <br /> 3 2/21/07 <br />