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F. In -Tank Gauging I SIR Equipment; X 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 fonowin g checklist: <br />Yes Q No` Has all Input wiring bean inspected for proper entry and termination, iticluding testing for ground faults? <br />❑ Yes 0 No* are all tank gauging probes visually inspected for damage and residue bulldun? <br />a Yes C7 Now Was a .curacy of system product level readings tested? <br />Q Yes ❑ Na" Was accuracy of system water level readings tested? <br />Q Yes i.7 No" Were all probes reinstalled properly? <br />❑ Yes p No Ware all items on the equipment manufacturer's maintenance checklist cornpleted7 <br />In the Section M, below, describe how and Whan these deficienclp$ were or tiMI bo corrected. <br />G. Line Leak Detectors (LLD); Q Check this box if LLDs are not installed. <br />D No" For equlpmollt start-c;p or annual equipment certifiication, was a leaksimulated to <br />Q N/A that apply) Simulated loatc rate; X 3 g.p,h.; Il 0.1 g,p.h ; ❑ 0,2 g.p.h. <br />Q Na' Were all LLDa confirmed operational and accurate wltninregulatory requirements; <br />Q No" Was the testing apparatus properly calibrated? <br />❑ No` For mechanical LLDs, does the LLD restrict product flow if it dateel a leak? <br />Q NIA <br />1i No" For electronfo LL[7s, does the turbine automatically shut off if the LLD detects a les <br />V nun <br />Q Yes q No" For 0 actronio LLD$, does the turbine automatically shut off If eny portion of the Monitoring system is disable <br />X NIA disconnected? <br />Q Yes u I For electronlc t.LQs, does the turbine autornatically shut aff if any portion of the monitoring system malfunctions or <br />X NIA a test? <br />❑ Yes © Ne For electronic Ill have all accessible wiring connections been visually inspected? <br />X NIA <br />X Yes 11 Ne" Were ail items on the equipment manufacturers maintenance checklist completed? <br />In the Section H, below, d4tscrtbe how And when thew tieficiencfe$ were or will be corrected. <br />H. Comments: <br />Monitoring system certification Page 3 of 4 <br />12107 <br />3 <br />or <br />2/21/07 <br />