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r A <br /> F. In-Tank Gauging/SIR Equipment: 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 /> - Yes No* Has all input wiring been inspected for proper entry and termination,including testing for ground faults? <br /> Yes - No* Were all tank gauging probes visually inspected for damage and residue buildup? <br /> Yes No* Was accuracy of system product level readings tested? <br /> i Yes - No* Was accuracy of system water level readings tested? <br /> Yes No* Were all probes reinstalled properly? <br /> 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 will be corrected. <br /> G. Line Leak Detectors(LLD): 0 Check this box if LLDs are not installed. <br /> Complete the following checklist: <br /> LX Yes E No* For equipment start-up or annual equipment certification,was a leak simulated to verify LLD performance?(Check all <br /> N/A that apply) Simulated leak rate:®3 g.p.h.;00.1 g.p.h; 0.2 g.p.h. <br /> -x Yes No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> -x Yes No* Was the testing apparatus properly calibrated? <br /> ?K Yes No* For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> N/A <br /> -, Yes No* For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> Ln N/A <br /> Fi Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or <br /> w N/A disconnected? <br /> Yes No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or <br /> ik N/A fails a test? <br /> Yes No* For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> x N/A <br /> 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 will be corrected. <br /> H. Comments: <br /> 5-23-18 Returned to retest with inspector, T-4 87 L L D after repairs 87 L.L.D. Pass <br /> Red-Jacket Model: FX1 V Serial: 116-056. <br /> Monitoring System Certification Page of 12107 <br />