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9255517888 Line 15;51 11-18-2013 4117 <br />Vj C7STTIEI-RYAN INC. IrGR Job # 20-$92623 <br />F. In -Tank Gauging t SIREquipment: Check this box if tank <br />� S[ gauging is used only fir inventory co <br />FIVED <br />Q Check this box if no tank gauging or SIR equipment is installed. <br />This section must be completed if In -tank gauging equipment is used to perform leak detection monitoring. NOV 18 1 <br />Complete the fnilnwine chacknute <br />t <br />tsj <br />es <br />❑ <br />o <br />Has all input wiring been inspected for proper entry and termination, Including testing for ground faults? <br />Yes <br />[] <br />No* <br />Were all tank gauging probes visually inspected for damage and residue buildup? <br />Ix— <br />Yes <br />❑ <br />No* <br />Was accuracy of system products level readings tested? <br />ff <br />Yes <br />❑ <br />No* <br />Was accuracy of system water level readings tested? <br />rX <br />Yes <br />[3 <br />No` <br />Were all probes reinstalled properly? <br />Yes <br />(g <br />No` <br />Wem all items on the equipment manufacturer's maintenance checklist completed? <br />... •••,,,,«.... , --j w..e. '-F -u wi,an t,moa ucnumilultm were Or Will De cOrrecm. <br />G. Line Leak Detectors (LLD): 0 Check this box if H Ds are not installed. <br />(`mm.r . thn f.11—d— r&,e.•4ticf• <br />fg <br />Yes <br />[] <br />o <br />or equipment start-up or annus equipment certification, was a leak simulated to verify LLD performance?(check of <br />13 <br />N/A <br />drat apply) Simulated leak rate! ® 3 g,p.h, ❑ 0.1 g.p.h. ❑ 0.2 g.p.h. <br />E <br />Yes <br />❑ <br />No* <br />Were all LLDs confirmed operational and accurate within regulatory requirements? <br />R <br />Yes <br />❑ <br />No* <br />Was dt testing apparatus property calibrated? <br />❑ <br />Yes <br />❑ <br />No* <br />For Mechanical LLDs, does the LLD restrict product flow If It detects a teak? <br />(g <br />N/A <br />r& <br />Yes <br />❑ <br />No` <br />For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br />❑ <br />WA <br />ff <br />Yes <br />❑ <br />No` <br />For electronic LLDs. does the turbine automatically shut off If any portion of the monitoring system Is disabled or <br />❑ <br />NIA <br />Disconnected? <br />Yes <br />® <br />No` <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or <br />❑ <br />NIA <br />fails a test? <br />Yes <br />❑ <br />No* <br />For electronic LLDs, have all accessible wiring connections been visually inspected? <br />❑ <br />N/A <br />Yes <br />No` <br />were all Items on the equipment manufacturer's maintenance checklist completed? <br />• n ihn CnMinn <br />.ss.. ilnn..ri w hw....... ...w.... a,.�e_ _ _ ___e__ ..�__ <br />G. Comments: <br />Monitoring System Certification Page 3 of 4 17107 <br />7 <br />