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F, In-Tank Gauging 1 SIR Equipment: ® Check this box if tank gauging is used only for inventory control. ❑ Check this box if no tank gauging or SIR equipment is installed. This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. Complete the following checklist: ❑ Yes ❑ No* Has all input wiring been inspected for proper entry and termination,including testing for ground faults? ❑ Yes ❑ No* Were all tank gauging probes visually inspected for damage and residue buildup? ❑ Yes ❑ No* Was accuracy of system product level readings tested? ❑ Yes ❑ No* Was accuracy of system water level readings tested? El Yes ❑ No* Were all probes reinstalled properly? ❑ Yes I ❑ No Were all items on the equipment manufacturer's maintenance checklist completed? *In the Section H,below,describe how and when these deficiencies were or will be corrected. G. Line Leak Detectors(LLD): ❑ Check this box if LLDs are not installed. Complete the following checklist: ® Yes C i No* For equipment start-up or annual equipment certification,was a leak simulated to verify LLD performance?(Check all ❑ N/A thatapp/y) Simulated leak rate: ®3 g.p.h.; ❑0.1 g.p.h', ❑0.2 g.p.h. N Yes ❑ No* Were all LLDs confirmed operational and accurate within regulatory requirements? ® Yes ❑ No* Was the testing apparatus properly calibrated? ® Yes ❑ No* For mechanical LLDs,does the LLD restrict product flow if it detects a leak? ❑ N/A ❑ Yes ❑ No* For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? ® N/A Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or ® N/A disconnected? ❑ Yes 1.1 No* For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions or I@ N/A fails a test? ri Yes 1:1 No* For electronic LLDs,have all accessible wiring connections been visually inspected? ® N/A ® Yes ❑ No* tWere all items on the equipment manufacturer's maintenance checklist completed? *In the Section H,below,describe how and when these deficiencies were or will be corrected. H. Comments: Monitoring System Certification Page 3 of 4 12107 3 2/21/07 ____.______..__..._.