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I� <br /> F. In.-Tank Gauging/SIR Equipment: X Check this box If tank gauging Is used only for inventory control. <br /> L- Check this box If no lank 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 /> Com lite the following checklist: <br /> X Yes :7 No' Has all Input wiring been Inspected for proper entry and termination,Including testing for ground faults? <br /> X Yes a No' Were all tank gauging probes visually inspected for damage and residue buildup? <br /> X YEis D No' Was accuracy of system product level readings tested? <br /> X Yes D No' Was accuracy of system water level readings tested? <br /> X Yes o No' Were all probes relnstatled property? j <br /> X Yes 0 No' I Were all items on the equipment manufacturer's maintenance checklist completed? 1i <br /> In the Section H,below,describe how and when these deficiencies were or will be corrected. <br /> G. Line Leak Detectors(LLD): u Check this box if LLDs are not installed. <br /> i <br /> Com lite the following checklist: <br /> I <br /> X Ye!s D No' For equipment start-up or annual equipment certification,was a leak simulated to verity LLD performance?(Check aN <br /> n N/A that apply) Simulated leak rate: X 3 g.p.h.; U 0.1 g.p,h; r,0.2 g.p.h, j <br /> i <br /> X Yes ❑ No' Were all LLDs confirmed operaflonal and accurate within regulatory requirements? <br /> X Yes D No' Was the testing apparatus property calibrated? <br /> Yes o No' For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> X NIA <br /> X Yr:s D No' For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? II! <br /> N/A ' <br /> X Yes o 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 /> X Yes 1_; No' For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions or i <br /> N/A falls a teat? ` <br /> X Yes C No' For electronic LLDs,have all accessible wiring connections been visually Inspected? <br /> N/A <br /> X Yos C No' Were all items on the equipment manufacturer's maintenance checklist completed? <br /> In the Section H,below,describe how and when these deficiencies were or will be corrected. I <br /> H. Comments: <br /> i <br /> i <br /> — I <br /> E <br /> 1 <br /> j <br /> — I <br /> — E <br /> j <br /> Monitoring System Certification Page 3 of 4 12107 <br /> 3 2/21/07 <br /> I <br /> i <br /> s <br />