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1 0 0 <br />F. In -Tank Gauging / SIR Equipment: 0 Check this box if tank gauging is used only for inventory control. <br />E] 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 checklist: <br />* In the hection H, Deiow, ciescritie now ano wnen inese ueuctuncivj wcru ur Will UV %;Vl I WA MU. <br />Cnmnlete the fallowinp checklist: <br />84 <br />i.Has <br />all input wiring been inspected for proper entry and termination, including testing for ground faults? <br />All <br />Were all tank gauging probes visually inspected for damage and residue buildup? <br />Was accuracy of system product level readings tested? <br />Was accuracy of system water level readings tested? <br />Were all probes reinstalled property? <br />103 <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />* In the hection H, Deiow, ciescritie now ano wnen inese ueuctuncivj wcru ur Will UV %;Vl I WA MU. <br />Cnmnlete the fallowinp checklist: <br />84 <br />�01 <br />For equipment start-up or annual equipment certiflcation, was a leak simulated to verify LLD performance? <br />(Check all that apply) Simulated leak rate: JD3 g.p.h.; 0 0. 1 g.p,h ; El 0.2 g.p.h. <br />Were all LLDs confirmed operational and accurate within regulatory requirements? <br />Was the testing apparatus property calibraied? <br />103 <br />1 For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br />rNOM111=1 <br />For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br />system is disable <br />or disconnected? <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system <br />malfunctions or fails a test? <br />For electronic LLDs, have all accessible wiring connections been visually inspected? <br />Pj <br />Um; <br />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 wni ue torr feu. <br />IWRT"1 1� <br />Monitoring Certification Test Report 3 of 4 <br />