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F. In-Tank Gauging 1 SIR Equipment: 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 rf in4ank gauging equipment is used to perform leak detection monitoring. Com tete the followino checkl' t: Yes No' Has all input wiring been inspected for proper entry and termination,including testing for ground faults? Yes No* Were all tank gauging probes visually inspected for damage and residue buildup? Yes No' Was accuracy of system product level readings tested? Yes NW Was accuracy of system water level readings tested? Yes I I No' Were all probes reinstalled property? Yes i I No* Were all items on the equipment manufacturer's maintenance checklist completed? In the Section H,below,describe how and when these deficiencies were or will be corrected. G. Line Leak Detectors(LLD): i Check this box if LLDs are not installed. Com tete the followin checklist: x Yes No' For equipment start-up or annual equipment certification,was a leak simulated to verify LLD performance?(Check al! WA that apply) Simulated leak rate: x 3 g.p.h.; I: 0.1 g.p.h ; 0.2g-p.h. x Yes i i No` Were all LLDs confirmed operational and accurate wtthin regulatory requirements? Y. Yes I I No, Was the testing apparaWs property caGbraW? Yes No' For mechanical LLDs,does the LLD restrict product flow if it detects a leak? NIA YesNo` For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? it WA Yes : No* For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system is disabled or it WA disconnected? Yes No' For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions or a NIA fails a test? Yes !1 No* For electronic LLDs,have all accessible wiring connections been visually inspected? M NIA Yes . No' Were all items on the equipment manufacturer's maintenance checklist completed? In the Section H,below,describe how and when these deficiencies were or wilt be corrected. H. Comments: Monitoring System Certification Page 3 of 4 12/07 3 2/21/07