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Monitoring System Certification <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 /> ® 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 /> r In 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 /> ® Yes ❑ No * For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br /> ❑ N/A (Check all that apply) Simulated leak rate : ® 3 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 ❑ 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 /> ® N/A <br /> ❑ Yes ❑ No * For electronic LLDs , does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> ® N/A or disconnected? <br /> ❑ Yes ❑ No * For electronic LLDs , does the turbine automatically shut off if any portion of the monitoring system <br /> ® N/A malfunctions or fails a test? <br /> L❑ Yes El No * For electronic LLDs, have all accessible wiring connections been visually inspected? <br /> ® N/A <br /> ® Yes ❑ No * Were all items on the equipment manufacturer' s maintenance checklist completed? <br /> * In Section H, below, describe how and when these deficiencies were or will be corrected. <br /> H. Comments : 1 . Leak Detector #1 feeds UDC #3=4 and leak detector #2 feeds UDC #1-2. <br /> UN-036 — www. unidoes. org Rev. 01 /17/08 <br />