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E <br />L] <br />F. In -Tank Gauging I SIR Equipment: 0 Check this box if tank gauging is used only for inventory control. <br />0 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 />Complete the following checklist: <br />0 <br />Yes <br />El <br />No* <br />Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br />0 <br />Yes <br />[I <br />No* <br />Were all tank gauging probes visually inspected for damage and residue buildup? <br />0 <br />Yes <br />0 <br />No* <br />Was accuracy of system product level readings tested? <br />0 <br />Yes <br />El <br />No* <br />Was accuracy of system water level readings tested? <br />10 <br />Yes <br />El <br />No* <br />Were all probes reinstalled properly? <br />10 <br />Yes <br />0 <br />No* <br />I Were all items on the equipment manufacturer's maintenance checklist completed? <br />- in section m, Deiow, describe now ana when these aenciencies were or will oe correctea. <br />Line Leak Detectors (LLD): <br />[] Check this box if LLDs are not installed. <br />0 <br />Yes <br />0 <br />No* <br />For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? (Check all that apply) <br />El <br />N/A <br />Simulated leak rate: 0 3 g.pA; [10.1 g.p.h; 0 0.2 g.p.h. <br />Yes <br />No* <br />Were all LLDs confirmed operational and accurate within regulatory requirements? <br />Yes <br />❑ <br />No* <br />Was the testing apparatus properly calibrated? <br />Yes <br />No* <br />For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br />0 <br />N/A <br />0 <br />Yes <br />❑ <br />No* <br />For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br />N/A <br />❑ <br />Yes <br />0 <br />No* <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? <br />0 <br />N/A <br />El <br />Yes <br />El <br />No* <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? <br />N/A <br />❑ <br />Yes <br />❑ <br />No* <br />For electronic LLDs, have all accessible wiring connections been visually inspected? <br />N/A <br />Yes <br />❑ <br />No* <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />* In Section H, below, describe how and when these deficiencies were or will be corrected. <br />A A 2 9 9 -61 FEW WA NO U F: 0 A M WORK I MAU 9 111901191 Q sm I I I WWA <br />FJIIWM��� <br />Monitoring System Certification Page 3 of 4 2/21/07 <br />