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F. In-Tank Gauging/SIR Equipment: ❑ Check this box if tank gauging is used only for inventory control. <br /> n 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 /> Pr Yes ❑ No* Were all items on the equipment manufacturers 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): i Check this box if LLDs are not installed. <br /> Complete the following checklist: <br /> ❑ Yes ❑ No* For equipme tart-up or annual equipment certification,was a leak simulated to verify LLD performance?(Check all <br /> ❑ N/A that apply) Simu leak rate: El g.p.h.; ❑ . g.p.h; ❑0.2 g.p.h. <br /> ❑ Yes ❑ No* Were all LLD!confirmed rational and ocurate within regulatory requirements? <br /> El Yes ❑ No* Was the testing apparatus pro ly rated? <br /> ❑ Yes ❑ No* For mechanical LLDs,does the Lstrict product flow if it detects a leak? <br /> Li N/A <br /> ❑ Yes ❑ No* For electronic LLDs,does t turbine auto �celly shut off if the LLD detects a teak? <br /> ❑ WA <br /> ❑ Yes ❑ No* For electronic LLDs, d the turbine automatically toff'rf any portion of the monitoring system is disabled or <br /> ❑ N/A disconnected? <br /> ❑ Yes ❑ No* For electronic 1-1-DA, does the turbine automatically shut off if any portion of the monitoring system malfunctions or <br /> ❑ WA fails a test? <br /> ❑ Yes ❑ 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 the Section H,below,describe how and when these deficiencies were or will be corrected. <br /> H. Comments: {� <br /> �`,i� <br /> 'jes� ls�ols �6U`c)l4 Jar ivk cx-cVA OX' <br /> Monitoring System Certification Page 3 of 4 12/07 <br /> 3 2/21/07 <br />