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F. In-Tank Gauging/SIR Equipment: • ❑ Check this box if tank gauging used only for inventory control. <br /> ❑ Check this box If no tank gauging or SIR equipment is installed. <br /> - ,� <br /> This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. <br /> Complete the following checklist: <br /> ❑ Yes ❑ No` Has all input wiring been inspected for proper entry and teninabon,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? L - <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 manufacturers maintenance checklist completed? <br /> In Section H,below,describe how and when these deficiencies ware or will be connected. <br /> Line Leak Detectors(LLD): ❑ Check this box if LLDs are not installed. <br /> Com late the followin I checklist: apply) <br /> ® Yes ❑ No' For equipment start-up or annual equipment certification, was a leak simulated to verifyLLD performance? (Check all that a 1 <br /> ❑ NIA Simulated leak rate: ®3 g�p.h.; ❑0.1 g.p.h; [10.2 g.p.h. <br /> ® Yes ❑ No' Were all LLDs confined operational and accurate within regulatory requirements? <br /> ® Yes ❑ No" Was the testing apparatus properly calibrated? <br /> ® Yes ❑ Ni For mechanical LLDs,tices the LLD restrict product flow if it detects a leak? <br /> ❑ WA <br /> ❑ Yes ❑ No' For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> ® NIA <br /> ❑ Yes ❑ No* For electronic LLDs,tices 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 H any portion of the monitoring system malfunctions or fails a test? <br /> ® N/A <br /> El Yes ❑ No* For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> ® NIA <br /> ® Yes El No* Were all items on the equipment manufacturers maintenance checklist completed? <br /> `In Section H,below,tlescribe how antl when these daflclencles wen or wl11 be corrected. <br /> H. Comments: <br /> 87 120N 4 26 22 PASS <br /> 89 140 6 27 21 PASS <br /> 91 100 6 27 21 PASS <br /> 87 NOTINSTALLED <br /> Page3ofa 2/21/07 <br /> Monitoring System Certification <br />