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F. In-Tank Gauging I SIR Equipment: ❑ Check this box if tank gauging is used only for inventory control. <br /> ® Check this box R 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 /> ❑ Yes ❑ No' Has all input wiring been spected 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 /> Line Leak Detectors(LLD): ® Check this box if LLDs are not installed. <br /> Com letethefo11 win checklist: <br /> ® Yes ❑ NO Stimulated equipment <br /> rate:-up or®3 ganh ual❑eggu;p9 e„ certification, <br /> oicat9 P,hwas a leak simulated to verify LLD performance? (Check all that apply) <br /> ❑ N/A p. p <br /> ® Yes ❑ No' Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> ® Yes ❑ No' Was the testing apparatus properly calibrated? <br /> ® Yes ❑ No' For mechanical LLDs,does the LLD restrict product Flow H it detects a leak? <br /> ❑ N/A <br /> ❑ Yes ❑ Ne For electronic LLOs,does the turbine automatically shut off if the LLD detects a leak? <br /> ® NIA <br /> ❑ system is disabled or disconnected? <br /> Yes ❑ No' For electronic LLOs,does the turhine amomalically shut off if any portion of the monitoring <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 LLDs,have all accessible wiring connections been visually inspected? <br /> ® N/A <br /> ® Yes ❑ No' Were all items on the equipment manufacturefs maintenance checklist completed? <br /> In Section H.below,describe how and when these deficiencies were or will be corrected. <br /> H. Comments: <br /> 2/21/07 <br /> Monitoring System Certification <br /> Page 3 of a <br />