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ECE�VEV <br /> F. In-Tank Gauging/SIR Equipment: X Check this box if tank gauging is used only for inventoryA�,P`_y�► �/ <br /> ❑ Check this box if no tank gauging or SIR equipmennt'i�a installed. 2 2015 <br /> This section must be completed it in-tank gauging equipment is used to perform leak detection monitoring. �,•V'R NM <br /> M <br /> i checklist:" Has all input wiring been inspected for proper entry and termination,including t' Were all tank gauging probes visually Was accuracy of system product level readings tested?' Was accuracy of system water level reaWere all probes reinstalled properly?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): i I Check this box if LLDs are not installed. <br /> Complete the followinachecklist: <br /> X Yes _; No' For equipment start-up or annual equipment certification,was a leak simulated to verify LLD performance?(Check all <br /> N/A that apply) Simulated leak rate: x 3 g.p.h.; ❑0.1 g.p.h; CI 0.2 g.p.h. <br /> X Yes ❑ No' Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> X Yes ❑ No' Was the testing apparatus properly celwratad? <br /> Yes ❑ No' For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> X WA <br /> x Yes ❑ No' For electronic LLDs,does the turbine automatically shut off it the LLD detects a leak? <br /> WA <br /> x Yes ❑ No' For electronic LLDs, tices the turbine automatically shut off it any portion of the monitoring system is disabled or <br /> N/A disconnected? <br /> x Yes ❑ No' For electronic LLDs,does the turbine automatically shut off 9 any portion of the monitoring system malfunctions or fails <br /> N/A a test? <br /> X Yes ❑ No' For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> ❑ N/A <br /> X 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:THE DIESEL PLLD DID NOT PASS. IT WAS REPLACED ON 12/2/2014. NEED TO RETEST <br /> Monitoring System Certification Page 3 of 4 1410? <br /> 3 <br /> 2/21/07 <br />