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Ma r. 27. 2013 8:33AM No, 6553 P. 5 <br /> F. in-Tank Gauging/SIR Equipment: a Check this box It tank gauging is used only for inventory control. <br /> Check this box it 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 /> Gcm tete the followinma ehecldist: <br /> Yes JU6# as <br /> all Input wiring been inspected for proper entry and termlaation,including testing for ground faults? <br /> Yes Not all tank gauging probes visually Inspected for damage and residue buildup? <br /> Yes accuracy of system product level readings tested? <br /> Yes aoouracy of system water level readings lasted? <br /> Yes ail probes reinstalled property?Yes 811 hems on the equipment manufacturers maintenance checklist completed? <br /> In the Section H,below,describe how and when these deflclencles were or wlil be corrected. <br /> G. Line Leak Detectors(LLD): ❑Check[his box If LLDs are not installed. <br /> Com lete the followirra chscidlst: <br /> it Yes No' For equipment start-up or annual equipment certification,was a leak simulated to verify LLD performance?(Check all <br /> N/A that apply) Slmulated leak rate:03 6.p-h,;[]0.1 g.p.h;❑0.2 g.p.h. <br /> if Yes No' Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> x Yes Ne Was the testing apparatus properly calibrated? <br /> Yes No" For mechanical LLDs,does the LLD restrict product how if It detects a leak? <br /> N/A <br /> x Yes No" For electronic LLDs,does the turbine automatically shut oft if the LLD detects a leak? <br /> N/A <br /> x Yes No" For electronic LLDs, does the turbine automatically shut off it any portion of the monitoring system is disabled or <br /> N/A disconnected? <br /> x Yes No" For electronic LLDs,does the turbine automatically shut off if arty portion of the morrhodng system malfunctions or <br /> N/A fails a Reel? <br /> x Yes NW For electronic LLDs,have all accessible wiring connections bean visually Inspected? <br /> N/A• <br /> x Yes No' Were all items on the equipment manufacturers maintenance checklist completed? <br /> *In the Section H,below,describe how and when these deficiencies were or wile be corrected. <br /> H. Comments: <br /> Monitoring System Certification Page of 12107 <br />