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N <br />11 <br />F. In -Tank Gauging ! SIR Equipment: E Check this box if tank gauging is used only for inventory control. <br />E 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. <br />ra,.,..r� ee,e s.,u.....r.....1� ��net• <br />E <br />E <br />E Has all input wiring been inspected,for proper entry and termination, Including testing for ground faults? <br />No* Were all tank gauging probes visually inspected for damage and residue buildup? <br />E Yes <br />Was accuracy of system product level readings tested? <br />E <br />* Was accuracy of system water level readings tested? <br />!r <br />E Were all probes reinstalled properly? <br />e <br />E Were all items on the equipment manufacturer's maintenance checklist completed? <br />— in the section n, Der <br />aescn®e now ana wnen mese aenciencies were or vn® oe co <br />G. Line Leak Detectors (LLD): E Check this box if LLDs are not installed. <br />f_nmalata Oho frdlewdnn rhpr_knsM <br />E <br />Yes <br />E <br />E <br />No* <br />NIA <br />For equipment start-up or annual eq ' it certification, was a leak simulated to verify LLD performance? (Check ap <br />that apply) Simulated leak rate: EMP. ; E 0.1 g.p.h ; E 0.2 g.p.h. <br />E <br />E <br />No* <br />Were all LLDs confirmed operational and accurate within regulatory requirements? <br />E <br />E <br />No* <br />Was the testing apparatus properly calibrated? <br />E <br />E <br />E <br />No* <br />NIA <br />For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br />E <br />Yes <br />B <br />fi <br />* <br />For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br />E <br />Yes <br />E <br />E <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system Is disable! <br />or <br />E <br />Yes <br />E <br />E <br />* <br />P <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or <br />fails a test? <br />E <br />Yes <br />E AK <br />E <br />For electronic LLDs, have all accessible wiring connections been visually Inspected? <br />E <br />E <br />No* <br />Were all items on the equipment manufacturers maintenance cheddist completed? <br />rt3�1-S+fYl,] 'Jl=I11-lIA1,a IN i=?=3 hf�7i{Nf=3 INt =1'IL=3X3+3i",13!•.3K�] t=� fin• <br />Monitoring System Certification Page 3 of 4 12W <br />1 7/7.1 M7 <br />