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F. IU Tank Gauging / SIR Equipment: ® Check this box if tank gauging is used only for inventory control. ❑ Check this box if no tank gauging o e�nd�� This section must be completed if in -tank gauging equipment is used to perform leak detection monitoring. /V ED Complete the following checklist: ® Yes ❑ No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults? ® Yes ❑ No* Were all tank gauging probes visually inspected for damage and residue buildup? ® Yes ❑ No* Was accuracy of system product level readings tested? NVIRON ® Yes ❑ No* Was accuracy of system water level readings tested? DEPA ® Yes ❑ No* Were all probes reinstalled properly? ® Yes ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? In Jection H, beiow, describe now and wnen tnese Cienciencies were or will be correctea. Line Leak Detectors (LLD): ® Check this box if LLDs are not installed. rmmnlafa fha fnllnwinn rharkii¢f• ❑ Yes ❑ No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? (Check all that apply) ❑ N/A Simulated leak rate: ❑ 3 g.p.h., ❑ 0.1 g.p.h ; ❑ 0.2 g.p.h. ❑ Yes ❑ No* Were all LLDs confirmed operational and accurate within regulatory requirements? ❑ Yes ❑ No* Was the testing apparatus properly calibrated? ❑ Yes ❑ No* For mechanical LLDs, does the LLD restrict product flow if it detects a leak? ❑ N/A ❑ Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? ❑ N/A ❑ Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? ❑ N/A ❑ Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? ❑ N/A ❑ Yes ❑ No* For electronic LLDs, have all accessible wiring connections been visually inspected? ❑ N/A ❑ Yes ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? " In Section H, below, describe how and when these deficiencies were or will be corrected. H. Comments: SUCTICN SYSTEM SENSORS IN SUMP AND DISP ARE SET UP FOR POSITIVE SHUTDOWN .LTH Monitoring System Certification Page 3 of 4 2/21/07