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9255517888 Line 08:49:19 01-20-2015 4117 <br /> rGErrcER-RYAN kc. GR Job# 20-630005 <br /> F. In-Tank Gauging/SIR Equipment: I& Check this box if tank gauging is used only for inventory 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 following checklist: ��® <br /> Yes ❑ o Has all input wiring been inspected for proper entry and termination,including testing for ground faults? <br /> E Yes [] No' Were all tank gauging probes visually inspected for damage and residue buildup? <br /> -❑ No—Was accuracy of system-products level readings tested?- - - -- -- --- r1 <br /> E Yes ❑ No' Was accuracy of system water level readings tested? U�� <br /> E Yes ❑ No' Were all probes reinstalled properly CINWRONA ���� <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. PWr,UFNT <br /> G. Line Leak Detectors(LLD): ❑ Check this box if LLDs are not installed. <br /> Complete the following checklist: <br /> Ii Yes ❑ o For equipment start-up or annual equipment certification,was a leak simulated to verify LLD performance, check all <br /> ❑ NIA 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 calibra(ed? <br /> ❑ Yes ❑ No' For Mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> NIA <br /> Yes [] No" For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> ❑ NIA <br /> g Yes ❑ No' For electronic LLDs,does the turbine automatically shut off if any porlion of the monitoring system is disabled or <br /> ❑ N/A Disconnected? <br /> ga 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 /> I& Yes ❑ No' 1were all items on the equipment manufacturer's maintenance checklist completed? <br /> 'In the Section H,below,describe how and when these a ciencies were or will be corrected. <br /> G. Comments: <br /> Monitoring System Certification Page 3 of 4 12107 <br /> 3 <br />