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04/19/2062 09:10 20936513 TANKNOLOGY PAGE 08 <br /> Monitoring System Certification <br /> She Address: 153 E 11TH ST Date of Testing/service: 03/2012002 <br /> r. 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 cheek!Lt: <br /> Elyer F-]No Has all Input wiring been Inspected for proper entry and termination,including tasthtg for ground faults? <br /> El yes ElNo Were all tank gauging probes visually inspected for damage and realdue buildup? <br /> FT, FJNr. Was accuracy or system product level readings tested? <br /> 11roa F—J,,, Was accuracy of system water level readings tasted? <br /> 4aa ",, Were all probes reinstalled properly? <br /> ❑v,r. ❑"" Were all items on Ibe equipment manufacturers'maintenance checklist completed? <br /> In the Section H,below,describe how and when these deficlencies were or will he corrected. <br /> Line Leak Detectors (LLD) L] Check this box if LLDs are not installed <br /> complete the lollowina checklilt, <br /> For equipment start-up or annual equipment certiflcation,was a leak simulated to verify LLD performance? <br /> yes 11" E]wa (Check all that apply)Simulated leak rate: ❑ 3 g.p.h Q 0.1 g.p.h E:]0.2 g.p.h <br /> xce 11vo Were all LLDs confirmed operational and accurate within regulatory rsqulrements7 <br /> Yes #FIN <br /> s the testing apparatus properly calihrated7 <br /> yes EP" r mechahlcal LLDs,does the LLD restrict product flow If it detects a leak? <br /> Dyes ❑" r electronic LLOs does the turbine automatically shut off If the LLD detects a leak? <br /> Y" ❑Nr electronic LLD? does the turbine automatically shut off If any portion of the monitoring system is dlsabled or disconnected? <br /> ❑yes QNr electronic LLD,,does the turbine automatically shut off If any portion of the monitoring system malfunetlons or falls a test? <br /> vee Qnr electronic LLDs,have all accessible wiring connections been visually inspected? <br /> res onere ail 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 /> H. Comments: <br /> Tested the tank overfill visual and klaxon for all 3 tanks Passed ok <br /> plge 3 Vf J <br />