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Monitoring System Certification - 1'. A'3 <br /> Site Address: 4315 Waterloo Rd. @ Hwy. 99 Date of Testing/Servicing: 5/26/04 <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 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 ❑ No* 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 product level readings tested'? <br /> ❑Yes ❑ No* Was accuracy of system water level readings tested? <br /> ❑Yes ❑ No* Were all probes reinstalled properly? <br /> ❑Yes ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? <br /> * In Section H below,describe how and when these deficiencies were or will be corrected. <br /> G. Line Leak Detectors(LLD): ❑ Check this box if LLD's are not installed. <br /> Complete the following checklist: <br /> ®Yes ❑ No* For equipment start-up or annual equipment certification was a leak simulated to verify LLD performance? <br /> ❑ N/A (Check all that apply) Simulated leak reate: ® 3 g.p.h. (1.); ❑ 0.1 g.p.h.(2.); ❑ 0.2 g.p.h.(2.). <br /> Notes: 1. Required for equipment start-up certification and annual certification. <br /> 2. Unless mandated by local agency,certification required only for electronic LLD start-up. <br /> ®Yes ❑ No* Were all LLD's confirmed operational and accurate within regulatory requirements? <br /> ®Yes ❑ No* Was the testing apparatus properly calibrated? <br /> ❑Yes ❑ No* For mechanical LLD's,does the LLD restrict product flow if it detects a leak? <br /> ® N/A <br /> ®Yes ❑ No* For electronic LLD's,does the turbine automatically shut off if the LLD detects a leak'? <br /> ❑ N/A <br /> ®Yes ❑ No* For electronic LLD's,does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> ❑ N/A or disconnected? <br /> ®Yes ❑ No* For electronic LLD's,does the turbine automatically shut off if any portion of the monitoring system <br /> ❑ N/A malfunctions or fails a test? <br /> ®Yes ❑ No* For electronic LLD's,have all accessible wiring connections been visually inspected? <br /> ❑ N/A <br /> ®Yes ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? <br /> * In Section H below,describe how and when these deficiencies were or will be corrected. <br /> H. Comments: <br />