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May 2516 08:54a p 4 <br /> • • <br /> F. In-Tank Gauging I SIR Equipment: X Check this box if tank gauging is used only for invent control- leo VZELD <br /> ❑ Check this box if no tank gauging or SIR equipment is InstallQ <br /> This section must be completed Fin-tank gauging equipment Is used to perform leak detection monitoring. Y 2 5 20 16 <br /> Complete the followina checklist: �1{�'j <br /> ,3 Yes ❑ No' Has all input wiring been inspected for proper entry and termination,including testing for ground fauits?}tF41 a`vi tl LruL <br /> ❑ Yes ❑ No- Were ail tank gauging robes visual) m omni CArr <br /> 9 9 ng P y' speeted for damage and residue buildup? <br /> _, Yes 7 —Ne Was accuracy of system product IevN readings tested? <br /> Yes ❑ No• Was accuracy of system water level readings tested? <br /> Yes 7 No• Were all Probes reinstalled propery? <br /> ❑ Yes ❑ No' Were all items on the equipment manufacturer's maintenance checklist completed? <br /> 'In the Section H.below,describe Inow 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 followlingchecklist: <br /> X Yes ❑ No' For equipment start-up or annual equipment cedification,was a leak simulated to verify LLD performance?(Check aA <br /> ❑ WA that apply) Simulated leak rale: X 3 g.p.h.; L 0.1 g,p,h; ❑0.2 g.p.h. <br /> X Yes ❑ No' Were all LLDs oonfimred operational and accurate within regulatory requirements? <br /> X Yes ❑ No' Was the testing apparatus properly calibrated? <br /> X Yes ❑ No, For mechanical LEDs,does the LLD restrict product flow F it detects a leak? <br /> ❑ WA <br /> ❑ Yes C NO, For eledmnic LLDs,does the turbine autanatimry shut MF'd the LLD tleteds a lealh <br /> X WA <br /> ❑ Yes C No' For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled-6r <br /> – <br /> X WA disconnected? <br /> .7 Yes L' No' For eledmnic LLDs,does the turbine automatiealy shut off if arty porion of the monitoring system malfunctions or fails <br /> X NIA a test? <br /> 17 Yes r,: No" Forelectronlc LLDs,have all accessible wiring mnnectlons been visua9y inspected? <br /> X N!A <br /> X Yes c No' Were all items on the equipment manufacturer's maintenance checklist complated? <br /> 'In the Sactlon H,below,describe how and when these deficiencies were orwill be corrected. <br /> H. Comments: <br /> Monitoring System Cenification Page 3 of 4 12M <br /> 3 2/21/07 <br />