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Monitoring System Certification Page 2 of 4 2/21/07 F. In-Tank Gauging I SIR Equipment: S Check this box if tank gauging is used only for inventory control. ❑ Check this box if no tank gauging or SIR equipment is installed. This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. Complete the following checklist S Yes ❑ No' Has all input wiring been inspected for proper entry and termination,including testing for ground faults? S Yes ❑ No' Were all tank gauging probes visually inspected for damage and residue buildup? S Yes ❑ No' Was accuracy of system product level readings tested? S Yes ❑ No' Was accuracy of system water level readings tested? S Yes ❑ No` Were all probes reinstalled properly? S Yes ❑ No' Were all items on the equipment manufacturers maintenance checklist completed? "In Section H,below,describe how and when these deficiencies were or will be corrected. Line Leak Detectors(LLD): ❑ Check this box if LLDs are not installed. Complete the following checklist: S Yes ❑ No' For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? (Check all that apply) ❑ N/A Simulated leak rate: S 3 g.p.h.; ❑0.1 g.p.h; ❑0.2 g.p.h. ❑ Yes S No' Were all LLDs confirmed operational and accurate within regulatory requirements? S Yes ❑ No' Was the testing apparatus properly calibrated? S Yes ❑ No' For mechanical LLDs,does the LLD restrict product flow if it detects a leak? ❑ N/A ❑ Yes ❑ No' For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? S N/A ❑ Yes ❑ No' For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? S N/A ❑ Yes ❑ No' For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? S N/A ❑ Yes ❑ No' For electronic LLDs,have all accessible wiring connections been visually inspected? S N/A S Yes I ❑ No" Were all items on the equipment manufacturers maintenance checklist completed? "In Section H,below,describe how and when these deficiencies were or will be corrected. H. Comments: 87 L/D DOESN'T DETECT LEAK. Elite 1V to repair & re-test. 91 leak detect was not passing,tech made adjustments as needed and it passed.