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Qsi L --_. <br /> F. In-Tank Gauging/SIR Equipment: ® Check this box if tank gatis used only for inventory control. <br /> ❑ Check this box if no tank gauging or SIR equipment is 1 inst WAY <br /> 1 O 2016 <br /> This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. IYIFII L <br /> ntl7trM; 'c ^,r <br /> Complete the following checklist: 1 � e,j I A,— <br /> 5' >,rr <br /> , <br /> ❑ Yes El 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 /> ❑ Yes ❑ No- Were all items on the equipment manufacturer's maintenance checklist completed? <br /> In Section H,below,describe how and when these deficiencies were or will be corrected. <br /> .ine Leak Detectors(LLD): ❑ Check this box if LLDs are not installed. <br /> Complete the followingchecklist: <br /> ® Yes ❑ No' For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? (Check alf that apply) <br /> ❑ N/A Simulated leak rate: ®3 g.p.h.: ❑0.1 g.p.h: ❑0.2 g.p.h. <br /> ® Yes ❑ No' Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> ® Yes ❑ No' Was the testing apparatus property calibrated? <br /> ® Yes ❑ No' For mechanical LLDs,does the LLD restrict product Flow if it detects a leak? <br /> ❑ N/A <br /> ❑ Yes ❑ No' For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> ® N/A <br /> ❑ Yes ❑ No* For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? <br /> ® N/A <br /> ❑ Yes ❑ No' For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? <br /> ® N/A <br /> ❑ Yes ❑ No' For electronic LLIX 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 Section H,below,describe how and when these deficiencies were or will be corrected. <br /> H. comments: Leak Detectors <br /> ALL 3 LDS PASSED <br /> Monitoring System Certification Page 3 of 4 2/21/07 <br />