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F. In-Tank Gauging/SIR Equipment: -k Check this box if tank gauging is used only for inventory control. <br /> ­ Check this box it 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 followin checklist: <br /> entry and termination,including testing for ground faults? <br /> Yes - No0** <br /> Has all input wiring been inspected for proper e <br /> -Yes - No' Were all tank gauging probes visually inspected for damage and residue buildup? <br /> -7-yes - No- Was accuracy of system product level readings tested? <br /> 7 <br /> Yes - No* Was accuracy of system water level readings tested? 2 2 017 <br /> Yes - No- Were all probes reinstalled properly? <br /> 7 Yes - No* 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 wilt be corrected. HEALTH <br /> G. Line Leak Detectors(LLD): 0 Check this box if LLDs are not installed. ENV1RON't%Pi':-7 <br /> DEPARTNIENT <br /> Complete the following checklist: <br /> Yes No* For equipment start-up or annual equipment certification,was a leak simulated to verity LLD performance? (Check all <br /> N/A that apply) Simulated leak rate--Q3 g.p.h.;[0.1 g.p.h:[]0.2 g.p.h- <br /> Yes No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> Yes No* Was the testing apparatus properly calibrated? <br /> Yes Fo7For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> N/A off it the LLD detects a leak? <br /> Yes No* For electronic LLDs,does the turbine automatically shut <br /> N/A system <br /> No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring stem is disabled or <br /> NIA disconnected? <br /> L Yes No For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or <br /> N/A fails a test? <br /> Yes No* For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> N/A <br /> L Yes No* Were all items on the equipment manufacturer's maintenance checklist completed? <br /> in the Section H,below,describe and when these eficlencles were or will be corrected. <br /> H. Comments: <br /> UDC 14/15 sensor was defective. Had to replace with a new 794380-208 Sensor. Tested as <br /> �: " �, ' I: '',''"��i; Z�:I o;;:� i::� � �� <br /> --_de-_d­afl'2I 11,111 <br /> nee . �1. -1 . i <br /> Monitoring System Certification Page of 12/07 <br />