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06/14/2012 20:38 (209)465-4988 MaryAnn Henderson Page 5119 <br /> Monitoring System Certification 0 0 <br /> F. In-Tank Gauging/SIR Equipment: M Check this box if tank gauging is used only for inventory control. <br /> [J 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 /> D Yes 0 No* Has all input wiring been inspected for proper entry and termination,including testing for ground faults? <br /> 0 Yes 0 No* Were all tank gauging probes visually inspected for damage and residue buildup? <br /> [I Yes [j No* Was accuracy of system product level readings tested? <br /> [I Yes 0 No* Was accuracy of system water level readings tested? <br /> 0 Yes 0 No* Were all probes reinstalled properly? <br /> 0 Yes 0 No* Were all item on the equipment manufacturer's maintenance checklist completed? <br /> *In the Section K 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 /> Complete the followint checklist: <br /> 1@ Yes [3 No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br /> Ej N/A (Check all that apply) Simulated leak rate: 03g.p.h.; [30.1g.p.h; 00.2gp.h. <br /> 0 Yes [I No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> 0 Yes 0 No*' Was the testing apparatus properly calibrated? <br /> 0 Yes 0 No* For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> 0 N/A <br /> [I Yes 0 No* For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak?. <br /> IR N/A <br /> D Yes 11 No* For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> W N/A or disconnected? <br /> D Yes D No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system <br /> Cg N/A malfunctions or fails a test? <br /> 0 Yes 0 No* For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> I0 N/A I <br /> Were all items on the equipment manufacturer's maintenance checklist completed? <br /> In the Section H,below,describe how and when these deficiencies were or will be corrected. <br /> It Comments: <br /> Page 3 of 3 <br />