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r ; <br />Jun 10 11 01:49p Elite IV Contactors 12094616342 <br />9 0 <br />Check this box if tank gauging i used only for inventory control. <br />F. In -Tank Gauging/ SIR Equipment: ,,� Check this box if no tank gau,ji, I or SIR equipment is installed. <br />This section must be completed if in -tank gauging equipment is used to perform leak detection monitoring <br />Com isle the follawin checklist: <br />d t 'nation includirg <br />Yes <br />0 No* <br />Has all input wiring been Inspected for proper entry an ermi <br />Yes <br />No' <br />Were ail tank gauging probes visually inspected for damage and reskiue buiYes <br />Yes <br />❑ No* <br />Was accuracy of system product level readings tested? <br />[El <br />Yes <br />No" <br />Was accuracy of system water level readings tested? <br />Yes <br />No" <br />Were all probes reinstalle <br />Yes <br />- No' <br />Were all items on the equipment manufacturer's maintenance checklist eo <br />Yes <br />C N/A <br />❑ No* <br />Anfininnciea warp nr will be corrected. <br />- m the .l. ullun <br />G. Line Leak Detectors (LLD): <br />n......dntn tho lntinwina checklist: <br />p.4 <br />❑ Check this box if LLDs are not installed. <br />❑ Yes <br />❑ No" <br />For equipment start-up or annual equipment certification, was a jeaK simulF.le <br />❑ N/A <br />that apply) Simulated leak rate: C 3 g.p.h.; 3 0.1 g.p.h ; ❑ 0.2 g.p.h. <br />Yes <br />❑ No* <br />Were all LLDs confirmed operational and, accurate within regulatory requireM, <br />irwyes <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 />O Yes <br />❑ N/A <br />No* <br />For electronic LLDs, does the turbine automatically shut off if the LLD dete.ts <br />Yes <br />C N/A <br />❑ No* <br />For electronic LLDs, does the turbine automatically shut off if any portio <br />❑ N/A <br />disconnected? <br />❑ Yes <br />❑ No` <br />For electronic LLDs, does the turbine automatically shut off if any portior c <br />❑ N/A <br />fails a test? <br />O Yes <br />J No" <br />For electronic LLDs, have all accessible wiring connections been visually irsi <br />7 N/A <br />Yes <br />C No" <br />Were all items on the equipment manufacturer's maintenance checklist co -ii; <br />— <br />.. d.s:wi..we.:nn ...ern —will ho enrrPeTed- <br />P In the Jecuorl n, ue:urr, uca,. ,.v.. a............ ...___ __.. _-_----- - _ <br />H. Comments: <br />Monitoring System Certification <br />Page 3 of 4 <br />12/07 <br />