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• • 130726-444 F. In -Tank Gauging t SIR Equipment: s Check this box if tank gauging is used only for inventory control. ® Check this box ff no tank gauging or SIR equipment is installed. This section must be completed if in -tank gauging equipment is used to perform leak detection monitoring. f�n„nnlnM *h. 4JI—A � nhu ldiat- R Yes No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults? X Yes ® No` Were all tank gauging probes visually inspected for damage and residue buildup? Were all LLDs confirmed operational and accurate within regulatory requirements? Yes No* Was accuracy of system product level readings tested? 0 Yes Yes No` Was accuracy of system water level readings tested? WA Yes No* Were all probes reinstalled properly? For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? Yes No* I Were all items on the equipment manufacturer's maintenance checklist completed? * In the Section H, below, describe how and when these deficiencies were or will be corrected. G. Line Leak Detectors (LLD): ig Check this box if LLDs are not installed. n.....wlwaw si.w iwliw...iww wl*wwL1iN. 0 Yes No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? (Check all ® WA that apply) Simulated leak rate: ©3 g.p.h.; ® 0.1 g.p.h ; ®0.2 g.p.h. _, Yes 7EI No* Were all LLDs confirmed operational and accurate within regulatory requirements? ff Yes No* Was the testing apparatus properly calibrated? 0 Yes No* For mechanical LLDs, does the LLD restrict product flow if it detects a leak? WA Yes No* For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? WA TF Yes No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or WA disconnected? Yes No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or WA fails a test? Yes No* For electronic LLDs, have all accessible wiring connections been visually inspected? WA Yes No* Were all items on the equipment manufacturer's maintenance checklist completed? * in the Section H, below, describe how and when these deficiencies were or will be corrected. H. Comments: Monitoring System Certification Page 3 of 4 12107 2/21/07