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9255517888 Line 1 '5:32:10 11-08-2012 4/4 i �6.TTLER-RYAN INC. GR Job# 20-582390 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 if in-lank gauging equipment is used to perform leak detection monitoring. Complete the following checklist: Yes ❑ o 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 products level readings tested? (] Yes [] No' Was accuracy of system water level readings tested? ❑ Yes ❑ No* Were all probes reinstalled properly? 11 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 will be corrected. G. Line Leak Detectors(LLD): ❑ Check this box if LLDs are not installed. Complete the following checklist: ❑ es No* For equipment start-up or annual equipment certification,was a leak simulated to verify LLD performance?(check all ❑ NIA that apply) Simulated leak rate: ❑ 3 g.p.h. ❑ 0.1 g.p.h. ❑ 0.2 g.p.h. ❑ Yes C7 No* Were all LLDs confirmed operational and accurate within regulatory requirements? ❑ Yes ❑ No* Was the testing apparatus properly calibrated? ❑ 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 orf if the LLD detects a leak? ❑ N/A (] Yes ❑ No* For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system is disabled or ❑ NIA Disconnected? ❑ Yes ❑ No* For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions or (] N/A fails a test? [] Yes ❑ No* For e'-ectronic LLDs,have all accessible wiring connections been visually inspected? ❑ NIA ❑ Yes I No* 1were all items on the equipment manufacturer's maintenance checklist completed? *In the Section H,below,describe how and when these cleric envies were or will be corrected. G. Comments: Only tested diesel fill sump sensor. Monitoring System Certification Page 3 of 4 12107 3