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Nov 04 10 07:33a Elite 'V Contactors 120946'=342 p.4 <br />F. In -Tank Gauging / SIR Equipment: ❑ Check this box if tank gauging is used only for inventory control. <br />u 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 />E)( Yes D No' I Has all input wiring been inspected for proper entry and termination, including tes=fiaults?'� Yes ❑ No' Were all Yank gauging probes visually inspected for damage and residue buildup? <br />Yes D No' Was accuracy of system product level readings tested? <br />Yes 0 No' Was accuracy of system water level readings tested? <br />Yes ❑ No' Were all probes reinstalled properly? <br />Yes C 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 />Comolete the following rherklist- <br />Yes <br />0 <br />No' <br />For equipment start-up or annual equipment certification, was a leak.simulated to verify LLD performance? (Check all <br />0 <br />N/A <br />that apply) Simulated leak rate: f}(3 g.p.h.; 0 0.1 g.p.h ; ❑ 0.2 g.p.h. <br />Yes <br />C <br />No' <br />Were all LLDs confirmed operational and accurate within regulatory requirements? <br />tj( Yes <br />0 <br />No' <br />Was the testing apparatus properly calibrated? <br />G Yes <br />❑ <br />No' <br />For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br />N/A <br />Yes <br />0 <br />No' <br />For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br />❑ <br />N/A <br />C1<Yes <br />❑ <br />No' <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring sysamalfunctions <br />0 <br />N/A <br />disconnected? <br />Yes <br />C <br />No" <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring syste <br />❑ <br />N/A <br />fails a test? <br />Yes <br />0 <br />No' <br />For electronic LLDs, have all accessible wiring connections been visually inspected? <br />0 <br />N/A <br />Yes <br />❑ <br />No' <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />- to ine section h, oeiow, describe now and when these deficiencies were or will be corrected. <br />H. Comments: <br />Monitoring System Certification Page 3 of 4 12107 <br />3 <br />2/21/07 <br />