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0 <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* I 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 /> *In the 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 . .h. [10.1 . .h; [10.2 . .h. <br /> [EYes <br /> ❑ No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> ❑ No* Was the testing apparatus properly calibrated? <br /> ❑ No* For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br /> ❑ N/A <br /> ❑ No* For electronic LLDs,does the turbine automatically shut off ifthe LLD detects a leak? <br /> ® N/A <br /> ❑ 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 /> 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 /> ❑ No* For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> ® 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: <br /> Page 3 of 3 <br /> Monitoring System Certification <br />