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• <br />L' <br />150806-423 <br />F. In -Tank Gauging / SIR Equipment: ji Check this box if tank gauging is used only for inve L <br />EIVR <br />Q Check this box if no tank gauging or SIR equipme iskE., <br />This section must be completed if in -tank gauging equipment is used to perform leak detection monitoring. <br />Complete the followino checklist: <br />2015 <br />Yes <br />No* <br />Has all input wiring been inspected for proper entry and termination, including testing for ground f ? 11 rionh In <br />® Yes <br />® No* <br />Were all tank gauging probes visually inspected for damage and residue buildup? <br />Yes <br />® No* <br />Was accuracy of system product level readings tested? <br />® Yes <br />No' <br />Was accuracy of system water level readings tested? <br />TF-Yes-0No' <br />I n No* <br />Were all probes reinstalled properly? <br />® Yes <br />No' <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />- In the Section N, below, describe now and when these deficiencies were or will be corrected. <br />G. Line Leak Detectors (LLD): ® Check this box if LLDs are not installed. <br />r`mmnlata thn fnllnwinn rharlrlict- <br />® Yes <br />[3 No* <br />For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? (Check aR <br />® N/A <br />that apply) Simulated leak rate: ®3 g.p.h.; ®0.1 g.p.h ; ®0.2 g.p.h. <br />® Yes <br />M No* <br />Were all LLDs confirmed operational and accurate within regulatory requirements? <br />Yes <br />Q No* <br />Was the testing apparatus properly calibrated? <br />Yes <br />I n No* <br />For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br />J N/A <br />Yes <br />No* <br />For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br />N/A <br />Yes <br />No' <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or <br />NIA <br />disconnected? <br />® Yes <br />No* <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or <br />N/A <br />fails a test? <br />Yes <br />No' <br />For electronic LLDs, have all accessible wiring connections been visually inspected? <br />N/A <br />Yes <br />® No* <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />In the Section H, below, descrlbe now and when these deficiencies were or will be corrected. <br />H. Comments: <br />Monitoring System Certification Page 3 of 4 12107 <br />3 <br />Wednesday, September 16, 2015 brittanyl <br />2/21/07 <br />