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Feb -26. 2013 10:30AM RUMEX CONSTRUCTION <br />Monitoring System Certification 0 <br />F. In -Tank Gauging / SI1Z Equipment: <br />No. 8254 P. 11 <br />E <br />❑ Check this box if tank gauging is used only for inventory control. <br />❑ 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 leak detection monitoring. <br />Complete the following checklist; <br />INNMMMM� <br />❑ Yes <br />­=.WMMftM <br />❑ NO <br />hW..MfiWk%M.� <br />Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <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 />❑ 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 when these deficiencies were or will be correeW. <br />G. Line Leak Detectors (LLD)-. <br />Camnlote thp. fhUnwinor A-l"Witt- <br />0 Check this box if LLDs are not installed. <br />M Yes <br />❑ No* <br />For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br />❑ N/A <br />(Check all that apply) Simulated leak rate: 9 3 g,p.h.; ❑ 0.1 g.p,h ; ❑ 02 g,pb. <br />9 Yes <br />❑ No* <br />Were all LLDs Ds confirmed operational and accurate within regulatory requirements? <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 flow if it detects a leak? <br />❑ N/A <br />❑ Yes <br />❑ No* <br />For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br />0 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 />Eg N/A <br />or disconnected? <br />❑ Yes <br />❑ No* <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions <br />Eg N/A <br />or falls a test? <br />❑ Yes <br />I NO <br />For electronic I -LIN, have all accessible wiring connections been visually inspected? <br />0 N/A <br />0 Yes <br />❑ No* <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />' In the bection ft, below, describe how and when these deficiencies were or will be corrected. <br />IL Comments: <br />Page 3 of 3 <br />