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_01-13-09;01 ; 53PM=TOWN & COUNTRY CONTRACTORS ;916-636-9507 # 4/ 5 <br /> Monitoring;System Certification <br /> F. In-Tank Gauging/ SIR Equipment: ❑ Check this box if tank gauging is used only,for inventory control. <br /> El Clicck this boa:if no tank gauging or SM 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 /> x Yes p 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 /> j} x Yes ❑ No* Was accuracy of system product level readings tested? <br /> t!� <br /> x Yes ❑ No* Was accuracy of system water level readings tested? <br /> x Yes ❑ No* Were all probes reinstalled properly? <br /> x Yes ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? <br /> In the Seetian H,below,describe how and when these deficiencies were or will be corrected, <br /> G. Line Leak Detectors (LLD). x Check this box if LLDs arc not installed. <br /> Com >letc the folloin>checklist: <br /> ;s, Y c s ❑ No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br /> ❑ N/A (Clteck all shot apply) Simulated leak rate: x 3 g.p.h.; p O.1 g.p.h ; ❑ 0.2 g.p.h. <br /> i <br /> x Yes ❑ No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> x Yes ❑ No* Was the testing apparatus properly calibrated? <br /> ❑ Yes ❑ No* For tnecltanical LLDs, does the LLD restrict product flow if it detects a leak? <br /> x NIA <br /> x Yes ❑ No* For electronic LLDs, docs 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 <br /> L3 N/A or disconnected? <br /> x 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 /> x, Yes ❑ No* For electronic LLDs, have all accessible wiring connections been visually inspected? <br /> ❑ NIA <br /> x Yes ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? <br /> * In the Section H, below, describe 11ow and when these deficiencies were or will be corrected. <br /> q �--��1tri'TttG <br /> n <br /> I <br /> tJl`-03G-114 <br /> w.tiv.u�ldnee ark Rev.O11ZGM6 <br />