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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" alas 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 ❑ Na* Was accuracy of system product level readings tested? <br /> ® Yes ❑ No' Was accuracy of system water level readings tested? <br /> ® Yes ❑ No' Werc all probes reinstalled properly? <br /> ❑ Yes ❑ Nos 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 he 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 aPPIY) Simulated leak nate: 03 g.p.h.; ❑0.1 g.p.h; ❑02.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 ordisconnected? <br /> ❑ Yes ❑ No" For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions <br /> ® N/A or fails a test? <br /> ❑ Yes ❑ No" For electronic LLDs,have all accessible wiring comeetions been visually inspected? <br /> EOV11 ® N/A <br /> ❑ 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: 71111119' Gettified A.41-196 a.e receiving RED BACK€T MLLD sertifisatien. <br /> Page 3 of 3 <br />