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v <br />F. In -'Tank Gauging 1 SIR Equipment: ❑ Check this box iftank gauging is used only for inventory, control. <br />❑ Check this box if no tank gauging or SIR equipment is installed. <br />This section trust be completed if in -tank gauging equipment is used to perfonn leak detection monitoring. <br />i --iota tha (minwino rheeklist: <br />*In the Section H, below, describe how and wnen these uenciencfes were ur wK11 — %: ­e,ace.., <br />G. mine Leak Detectors (LLD): ❑ Check this box if LLDs are not installed. <br />�,£kttt Ieie <br />Yes <br />TIIB IiUU(Jwtu <br />❑ No <br />Has all input wiring been inspected for proper entry and termination, including testing for ground faults`.' <br />® Yes <br />❑ No* <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 />® Yes <br />0 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 H, below, describe how and wnen these uenciencfes were ur wK11 — %: ­e,ace.., <br />G. mine Leak Detectors (LLD): ❑ Check this box if LLDs are not installed. <br />�,£kttt Ieie <br />Yes <br />TIIB IiUU(Jwtu <br />❑ No <br />cElecm[�at. _--..__�______ <br />For equipment start-up or annual equipment certification. was a leak simulated to veri1'. 111) Pei- Orrnllilcc.' <br />❑ N'A <br />(Cheek cell than apply) Simulated leaf. rate: ❑; t;.p-1I.; ❑ 0.1 � ,p.h , C3 Ci."? � PAL ........ ..._ <br />[ Yes <br />❑ No* <br />Were all LLDs confirmed operational and accurate within regulatory requireinews`' <br />0 Yes <br />❑ No* <br />Was the testing apparatus properly calibrated? <br />Yes <br />❑ No* <br />For mechanical LLDs, does the LLD restrict product 11c)W if it detects a leak? <br />❑ N/A <br />❑ Yes <br />❑ No* <br />For electronic LLDs, does the turbine automatically shut oft if the LLL detects a leak? <br />Z 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 <br />0 NiA <br />or disconnected? <br />❑ Yes <br />❑ No* <br />For electronic LLDs, does the turbine automaticallyshut off if any portion of the monitoring system <br />NIA <br />malfunctions or fails a test? <br />Yes <br />❑ No* <br />For electronic I.Ds, have all accessible wiring connections been visually inspected? <br />NI/A---. <br />Yes <br />❑ No* <br />_ <br />Were all items on the equipment manuf'acturer's maintenance checklist completed? <br />* In the Section H, below, describe how and when these deficiencies were or wm oe correcceu< <br />H. Comments: <br />Monitoring Certification "fest Report <br />