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F. In-Tank Gauging/SIR Equipment: X 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 /> omplete the following checklist: <br /> Yes 0 No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br /> L Yes p No* Were all tank gauging probes visually inspected for damage and residue buildup? <br /> U Yes G No* Was accuracy of system product level readings tested? <br /> ❑ Yes n 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): Check this box if LLDs are not installed. <br /> Complete the following checklist: <br /> X Yes ❑ 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: x 3 g.p.h.; 0.1 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 L No* Was the testing apparatus properly calibrated? <br /> Yes G No* For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> X N/A <br /> x Yes ❑ No* For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> N/A <br /> x Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or <br /> N/A disconnected? <br /> x Yes ❑ No* For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails <br /> N/A a test? <br /> X Yes _j No* For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> P N/A <br /> X 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 /> ri. Comments: <br /> Monitoring System Certification Page 3 of 4 12107 <br /> 4 2/21/07 <br />