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Nlonitoring System Certification <br /> F. In-Tank Gauging/ SIR Equipmeht: ❑ Check this box if tank gauging is used only for invento rN 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 monitOrin1.z. <br /> Complete the following checklist: <br /> Yes ❑ No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults:' <br /> AYes ❑ No* Were all tank gauging probes visually inspected for damage and residue buildup? <br /> (� Yes ❑ No* Was accuracy ot'system product level readings tested? <br /> �( Yes ❑ No* Was accuracy of system water level readings tested? <br /> Yes LJ es <br /> Were all probes reinstalled properly'? <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 /> G. Line Leak Detectors (LLD): ❑ Check this box if LLDs are not installed. <br /> Complete the following checklist: <br /> Yes ❑ No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br /> ❑ N/A (Check all that apply) Simulated leak rate:,,g 3 g.p.h.; ❑ 0.1 g.p.h ; ❑ 0.2 g.p.h. <br /> Yes ❑ No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> Yes ❑ No* Was the testing apparatus properly calibrated'? <br /> Yes ❑ No* For mechanical LLDs,does the LLD restrict product flow if it detects a leak'? <br /> ❑ N/A <br /> ❑ Yes ❑ No* For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak'? <br /> ❑ N/A <br /> ❑ Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> ❑ N/A or disconnected? <br /> ❑ Yes ❑ No* For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions <br /> ❑ N/A or fails a test? <br /> ❑ Yes ❑ No* For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> ❑ 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 /> UN-036-3/4 Page 3 of 3 Rev.06/04/0) <br /> www.unidocs.org <br />