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0 Monitoring System Certification F. In -Tank Gauging/ SIR Equipment ❑Check this box if tank gauging is used only for inventory control. [--]Check this box if 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. Ccmnlate the foll®wlno checklist - Yes No* Has all input %virim been inspected for E2M entry and termination, including testi2j for ground faults? J YesQ No* Were all tank gaugi2g probes visually inspected for damage and residue buildup? Yes No* Was accur of system product level readings tested? jil Yes No* Was accuracy of a---- water level readings tested? Yes No* Were all probes reinstalled r erl . Yes No* Were all items on the equipment manufacturer's maintenance checklist completed? *In Section H, below, describe how and when these doficioncies were or will be corrooted. G. Line Leak Detectors (LLD): QCheck this box if LLDs are not Installed. Cornoletathe fellewlno checklist: Yes No* For equipment start-up or annual equipment certification, was a leak simulated to verity LLD performance? (Check a#fhat N/A a Simulated leak rate: ❑39.p.h. ❑o.l .h. 00.2 .h. Yes No* Were all LLDs confirmed operational and accurate within regulatory requirements? Yes No* Was the testing atus properly calibrated ❑ Yes No* For mechanical LLDs does the LLD restrict product flow if it detects a leak? N/A Yes No* For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? ❑ N/A Yes No* For electronic LLDs, does the turbine aulometically shut off if any portion of the monitoring system is dl,abfad or ❑ N/A disconnected? Yes No* Far electrons. LLD,, does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a ❑ N/A test? Yes 11 No* For electronis LLDs, have all accesabiele wiring connections been visually inspected? ❑ N/A ❑ Yes [01No* Were all items on the equipment manufacturer's maintenance checklist completed? -Irl ileo%Ion n, Delow, oescrine now alno when inese oencienclea were or will De correcleu. H. Comments: Page 3 of 4