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0 10 <br />F. In -Tank Gauging / SIR Equipment: X Check this box if tank gauging is used only for inventory control, <br />j 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 perfoffn leak detection monitoring. <br />Comnleta tha fnUnwinn tharkliat- <br />"Wivr - KI aw-01,1 letaev. <br />G. Line Leak Detectors (LLD): L Check this box if LLDs are not installed. <br />For equipment start-up or annual equipment certification, was a leak simulated to ve* LLD performance? (Check all <br />that apply) Simulated leak rate: X 3 g.p.h.; !i 0.1 g.p.h; D 0.2 g.p.h. <br />WaS accuracy of system product level readings tested? <br />Was accuracy of system water level reading�s tested? <br />No* <br />Were all probes reinstalled properly? <br />0. W_ <br />"Wivr - KI aw-01,1 letaev. <br />G. Line Leak Detectors (LLD): L Check this box if LLDs are not installed. <br />- - it A r <br />— I <br />AND COUNTY INSPECTOR OBSERVED RETEST GOOD ON 5-1-2012 <br />Monitoring System Certification Page 3 of 4 12107 <br />2/21/07 <br />For equipment start-up or annual equipment certification, was a leak simulated to ve* LLD performance? (Check all <br />that apply) Simulated leak rate: X 3 g.p.h.; !i 0.1 g.p.h; D 0.2 g.p.h. <br />Wl 1111111f.14111 <br />1111OWN; <br />Was the testing apparatus properly -calibrated-? <br />No* <br />i For mechanical LLDs, does the LLD restrict product flow if it detects a teak? <br />For Wlectronic LLDs, doesthe turbine _automatic;lly shut -off-if the LLD detects a leak? <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or <br />disconnected? <br />For electronic LLDs, does the turdtbine a atically shut off if any portion - of the monitoring system malfunctions or <br />fails a test? <br />For electronic LLDs, have all accessible wiring connections been visually inspected? <br />Were all items on the equipment manufacturer's maintenance checklist - co - mpleted? <br />- - it A r <br />— I <br />AND COUNTY INSPECTOR OBSERVED RETEST GOOD ON 5-1-2012 <br />Monitoring System Certification Page 3 of 4 12107 <br />2/21/07 <br />