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06/10/2008 09:26 9163712d50 BZ MANITANENCE PAGE 04/07 <br /> %./ <br /> Monitoring System Certification <br /> F. In-Tank Gauging /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 /> Complete the following checklist: <br /> x Yes RE01 <br /> No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br /> x Yes No* Were all tank gauging probes visually inspected for damage and residue buildup? <br /> x Yes No* Was accuracy of system product level readings tested? <br /> x Yes ❑ No* Was accuracy of system water level readings tested? <br /> x Yes ❑ No* Were all probes reinstalled properly? <br /> EH <br /> LI No* Were all items on the equipment manufacturer's maintenance checklist completcd7 <br /> " In the Section H,below,describe bow and when these deficiencies were or will be corrected. <br /> G. Line Leak Detectors (LLA): ❑ Check this box if LLDs are not installed. <br /> ............................_....................._.........., ...... <br /> Com tete the following checklist: <br /> x Yes ❑ No* For equipment start-up or annual equipment certification was a leak simulated to verify i.LD performance <br /> ❑ N/A (Check all that apply) Simulated leak rate: X 3 g.p.h.; O 0.1 g.p.h: ❑ 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 calibrated? <br /> x Yes ❑ No* For mechanical LLDs,does the LLA restrict product flow if it detects a Ieak'1 <br /> ❑ N/A <br /> ❑ Yes Cl No* For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> x N/A <br /> ❑ Yes ❑ No* For electronic LLDs, docs the turbine automarically shut off if any portion of the monitoring system is disabled <br /> x N/A or disconnected? <br /> ❑ Yes ❑ No* For electronic LLDs. does the turbine automatically shut off if any portion of the monitoring .system <br /> X N/A malfunctions or fails a test? <br /> ❑ Yes ❑ No* For electronic LLDs, have all accessible wiring connections been visually inspected? <br /> X N/A <br /> x Yes ❑ No* I Were all items on the equipment mamrfacturer's maintenance checklist completed? <br /> * in the Section H,below,describe how and when these deficiencies were or will he corrected. <br /> n—comments.__TIIEB.ZLEAKJ)ET-ECTQR WAS REPLACED ANDSESTE0.ON-412a/08 <br /> N Page ; of; T <br /> UN-036—114 <br /> Rev.01/16/06 <br />