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Monitoring System Certification <br /> F. In-Tank Gauging/SIR Equipment. U Check this box if tank gauging is used only far inventory control. <br /> ❑ Check this box if no tank gauging or SIR equipment is installed. <br /> This section must he completed if in-tart: gauging,equipment is used to perform leak detection monitoring. <br /> Com tete the following checklist: <br /> �Cil1 Yes ❑ No* Has all input wiring been inspected for proper entry and termination, including testing lb aeound ttlult':'' <br /> 11�Tes ❑ No* Were all tank gituging prcibes dctr,age atia raaidue ouiidup'. <br /> .j <br /> Yes ❑ NO Wa F,:r. ;� q o:°s)trrn product ievrt.readings tested?— --- —..--- ._ <br /> Yes ❑ No* Was accuracy of system:' .. .'::rrlres..n <br /> I Yes ❑ No* Were all probes reinstalled pmperw? <br /> Yes UJ N,,)*..] Were all items on the equipment manufacntrer's maintenance checklist cemple+.p'? --- — <br /> " __ sses!aas�e-,s,-:e,-..er�r_c.i..rc,ee_•_.sa►��.. <br /> * In the Section H,below,describe how and when these deficiencies were or will be corrected. <br /> G. Line Leak Detecterq 11 <br /> -'UU) iJ Check this box if LLDs are not installed. <br /> Complete the folio Ina checklist: _ <br /> Yes ❑ No* For equipment start-up or annual eouinment'rPrificatt,_,, w!,s o <br /> --�- -, .-,_. <br /> .., ei_.nu,eceu f0 verily LLL' perto <br /> 16J N/A I (Check till that apphv) Simulated leak rae '(� 3 „r:1, . J 0.1 g•h.h ; ❑0.2 g.p h. <br /> tr Yes I No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> :'cs�' ri ;�o� .. iesiing apparatus properly calibrated? <br /> ❑ Yes ❑ No* For mechanical 11-D* detE the ULD — •-......__ _ _�_"-_..__�_� 1 <br /> ___, __.. ...., .ca::ic:Yr.�ci:icf uvw it ii detects a ieaic'i <br /> _�� No* " <br /> Yes ❑ No* For electronic, L[.Ds.does the rinh ne_ a+etnMne; eli..shut G`r i;:li: LLU uciccis 8 ieakr <br /> Yes ❑ No* For electronic LLDs, does the h.trbine automatically shut off'if amt pariior, of thr, monitoring System as disvbled <br /> ❑ N/A or disconnected? <br /> .. „� cicci,VTllC LLDs,does the turbine automatically shut off i-a y portion of the monitoring system malfunctions <br /> ❑ N/A or fails a test? <br /> Yes i t:' Nc* For electronic Lf.Ds,have all accessible wiring connections been visually inspected? <br /> ❑ N_/A <br /> Yes ❑ No* Werc all items on ti+e,�lltirtr.Cllt <br /> * In the Section lit,below,descrlbe how and when these deflcienclet were or w.111 he corroeted. <br /> H. Comments: <br /> UN-036.314 Page 3 of 3 Rev.06/04/01 <br />