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0 0 <br />F. In -Tank Gauging I SIR Equipment: X 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 />%,ompre[r Lila lulivW1111mgw1c�.m•aa. <br />I Yes ❑ No* <br />Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br />Yes <br />No* <br />Were all tank gauging probes visually inspected for damage and residue buildup? <br />Yes <br />i -i No* <br />Was accuracy of system product level readings tested? <br />I I Yes <br />F, No* <br />Was accuracy of system water level readings tested? <br />-. Yes <br />No* <br />Were all probes reinstalled properly? <br />r77;Fes <br />_I No* <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />- in the section n, oeiow, ue5urlue now anu -1,211 ulcac aam,a lcnwca v`.� +. .+ .• �___. <br />G. Line Leak Detectors (LLD): i Check this box if LLDs are not installed. <br />4w—F— _ <br />X Yes <br />n No* <br />For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? (Check all <br />I NIA <br />that apply) Simulated leak rate: X 3 g.p.h.; L 0.1 g.p.h ; - : 0.2 g.p.h. <br />X Yes <br />- No* <br />Were all LLDs confirmed operational and accurate within regulatory requirements? <br />X Yes <br />❑ No* <br />Was the testing apparatus properly calibrated? <br />X Yes <br />i No* <br />For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br />N/A <br />Yes <br />A No* <br />For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br />X NIA <br />i Yes <br />-i No* <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or <br />X NIA <br />disconnected? <br />Yes <br />i ' No* <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails <br />X NIA <br />a test? <br />1 Yes <br />C No* <br />For electronic LLDs, have all accessible wiring connections been visually inspected? <br />X N/A <br />X Yes <br />i No* <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />* In the Section H, Delow, aescnDe now ana wrlen these aenclencles wa1C VS w111 UV , Wl lc Ww- <br />H. Comments: <br />Monitoring System Certification Page 3 of 4 <br />12107 <br />3 2/21/07 <br />