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6ErrcER-RYAN INc. GR Job # 10-064011.1 <br /> F. In-Tank Gauging/SIR Equipment: ❑ Check this box if tank gauging is used only for inventory control. <br /> ❑ Check this box if no tank gauging or SIR equ EC; <br /> i <br /> This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. i. <br /> A <br /> Complete the following checklist: � <br /> [z es ❑ o Has all input wiring been inspected 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 products level readings tested? ENIORONMEN %L <br /> 19 Yes ❑ No' Was accuracy of system water level readings tested? :F4 PkRRA , <br /> 19 Yes ❑ No' Were all probes reinstalled properly? <br /> Iz Yes ❑ No' Were all items on the equipment manufacturers maintenance checklist completed? <br /> In the Section H,below,describe how 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 following checklist: <br /> Ig es ❑ o or equipment start-up or annual equipment certification,was a leak simulated to verity performance?(check all <br /> ❑ N/A that apply) Simulated leak rate: ® 3 g p h. ❑ 0.1 g.p.h. ❑ 0.2 g.p.h. <br /> Ig Yes ❑ No' Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> Yes ❑ No' Was the testing apparatus property calibrated? <br /> ❑ Yes ❑ No' For Mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> Iz NIA <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,does the turbine automatically shut off if any portion of the monitoring system is disabled or <br /> ❑ N/A Disconnected? <br /> Yes ❑ No* For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions or <br /> ❑ NIA fails a test? <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 manufacturers maintenance checklist completed? <br /> 'In the Section H,below,describe how and when these deficiencies were or will be corrected. <br /> H Comments: <br /> Monitoring System Certification Page 3 of 4 12107 <br /> 3 <br />