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UNDERGROATOR4GE TAINK MONITORING SY STEOERTIFICATION' <br /> F. In-Tank Gauging/ SIR Equipment: Permit Number: <br /> ❑ Check this box if tanh gauging is used only for invemor7 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 followinZ checklist: +nti/ -« <br /> ❑ Yes ❑ No* Has al] input wiring been inspected for proper entry and termination,including testing for ground faults? <br /> ❑ Yes ❑ No* W ere 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 /> G. Line Leak Detectors (LLD): ❑ Check this box i°LLDs are not installed <br /> Complete the foho ing checklist: <br /> ❑ Yes ❑ No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br /> ❑ N/A (Check alt that apply) Simulated leak rate: ❑3 g.p.h.; ❑0.1 g.p.h. ; ❑ 0.2 g.p h. <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 if it detects a leak? <br /> ❑ N/A- <br /> Z) Yes ❑ No* For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> ❑ N/A <br /> ❑ Yes O No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> ❑ NIA or disconnected? <br /> ❑ 'Yes ❑ No* For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions <br /> ❑ NIA or fails a test? <br /> ❑ Yes ❑ No* For electronic LLD;have all accessible wiring connections been visually.inspected? <br /> ❑ N/A <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 /> H. Comments: <br /> 'i <br /> Page 3 of 4 County of San Diego DEH-Haaardous Materials Division. <br />