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e b <br /> F. ImUnk Gauging f SIR Equipment: x Check this box if tank gauging is used only for inventory control. <br /> Check this box if no tank gauging or SIR equipment Is installed. <br /> This section must be completed if in4ank gauging equipment is used to perform leak detection monitoring. <br /> Com tete the followift chec i <br /> Yes No" Has all input wiring been inspected for proper entry and termination,including testing for ground faults? <br /> Yes No' Were all tank gauging probes visually Inspected for damage and residue buildup? <br /> Yes NW Was accuracy of system product level readings tested? <br /> Yes No' Was accuracy of system water level readings tested? <br /> Yes No' Were all probes reinstalled properly? <br /> L..LT.J.No" I Were an Items on the equipment manufacturers maintenance checklist completed? <br /> *In the Section H,below,describe how and when these deficiencies were or will be corrected. <br /> G. Line Leak Detectors(LLD): 0 Check this box if LLDs are not installed. <br /> Corniotete the followinwwochecklist <br /> X Yes No' For equipment startup or annual equipment certification,was a leak simulated to verify LLD performance?(Check a!! <br /> N/A fhatapply) Simulated leak raft: X 3 g.p.h.; 4.1 g.ph; 0.2g.p.h. <br /> X Yes No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> X Yes No' Was the testing apparatus property calibrated? <br /> X Yes No* For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> N/A <br /> Yes No' For eleRronia LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> X N/A <br /> Yes No* For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system is disabled or <br /> X NIA disconnected? <br /> Yes No' For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system matrunctions or <br /> X N/A fails a test? <br /> Yes No' For electronic LLDs,have all accessible:wiring connections been visua%j inspected? <br /> X N/A <br /> X Yes No' Were all items on the equipment manufacturers maintenance checklist completed? <br /> 'in the Section H.below,describe how and when these deficiencies were or will be corrected. <br /> H. Comments: <br /> Monitoring System Certification Page 3 of 4 12107 <br /> 3 2/21/07 <br />