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Apr 281403,56a ReliablePetroletim 2098458953 p.4 <br /> 04/28/2014 7:08AM FAX 1925, 871 Guadalupe Sanchez <br /> Z0004/0015 <br /> Monitoring System Certification <br /> F. to-Tank Gauging!SIR Equipment: ® Check this box if tank gauS4 is used only for inventory control. <br /> ❑ Check this box if no tank gauging or S!<lt.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 /> I ❑ Yes ❑ No* Has all input wiring been inspected for proper entry and termination,inc:udiog testing for ground faults? <br /> ❑ Yes ❑ Not 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 G NO Were all probes reinstalled properly? <br /> ❑ Yes ❑ No* Were 311 items on the equipment manufacturer's maintenance checklist completed? <br /> In the Section Iq,below,describe how and when these del9ciencies were or will be corrected- <br /> G. Line Leak Defectors(LLD}: ❑ Check this box if LLDs are not installed, <br /> Cam Ietc the folio Jog checklist: <br /> 0 'Yes ❑ No* For equipment start-tip or annual equipment. certification, was a leak simulated to verify LLT) poxfvrmaace? <br /> ❑ N/A (Check all AM apply) Simulated leak rate: ®3 g.p.h.; ❑0.1 g.p.h; ❑0.2 <br /> g.p.h. <br /> ® Yes ❑ No' Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> ® Yes ❑ NO Was tht testing apparatus properly calibrated'? <br /> ❑ Yes ❑ No* For mechanical LLDs,does the LLD restrict product flow if it dctcets a leak? <br /> ® NIA <br /> Yes ❑ No* For electronic LL17s,does the turbine automatically shut off if the LLD detects a leak? <br /> ❑ N/A <br /> ® Yes ❑ NO For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> ❑ NIA or disconnected? <br /> M Yes ❑ No' For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions <br /> ❑ N/p, or fails a test? <br /> ® Yes ❑ Nu* For electronic LLDs,have ell accessible wiring connections been visually inspected? <br /> ❑ N/A <br /> ® Yes ❑ No' Were all items on the equipment manufacturer's maintenance cbeckhst completed? <br /> "to the Section H,below,describe how and when these deficiencies were or will be corrected_ <br /> H. Comments: <br /> AP <br /> ---- 'SRT ted <br /> Page 3 of 4 <br />