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'Monitoring System Certification <br /> El 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 Ieak detection monitoring <br /> Complete the following checklist: <br /> Exye -I <br /> x yes C3 No* Has all input wiring been inspected for proper entry and termination,including testing for ground faults? <br /> Yes <br /> x yes L3 No* Were all tank gauging probes visually inspected for damage and residue buildup? <br /> X x y a <br /> yes [I No* Was accuracy of system product level roadings tested? <br /> • yes 0 No* Was accuracy of system water level readings tested? <br /> • yes0 No* Were 411 probes reinstalled properly? <br /> 0* <br /> x Yes EONo* 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): 0 Check this box if LLDs am not installed. <br /> Cam Iete the follows na checklist: <br /> E3 Yes 13 No* For equipment stun-up or annual equipment certification, was a leak simulated to verify LLD performance? <br /> El N/A (Check all that apply) Simulated leak rate: x 3 g.p.h.; 0 0.1 g.p.h; [10.2 g.p.h. <br /> ID yes 11 N0* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> 0 Yes U No* Was the testing apparatus properly calibrated? <br /> 13 yes 11 No* For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> 13 N/A <br /> 0 Yes C1 NO* For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> 0 yes <br /> ❑ <br /> El Yes <br /> N/A <br /> El Yes 0 No <br /> * For electronic LLDs, does the turbine automatically shut Off if any portion of the monitoring system is disabled <br /> m Zs' does <br /> [I N/A or disconnecVeed?� <br /> e mtr. <br /> m <br /> E3 Yes 0 NO* For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring <br /> k Jul system malfunctions <br /> I C) N/A Or fails a test? <br /> ri Yes 0 No* For electronic LLDs,have al <br /> Y I I accessible wiring connections been visually inspected? <br /> C] N/A <br /> 0 Yes [I No* Were all items on the equipment manufacturer's maintenance checklist completed? <br /> In <br /> the Section H,below,describe how and when these deficiencies were or will be corrected. <br /> H. Comments: <br /> UN-036-1/4 <br /> www.unidoes-org Rev.01/26/06 <br /> too in NQIIVJS EIDIAHE[S H 09CZ TLC 9T6 YVA U:CT OTOZ/OT/ZO <br />