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11 <br />F. In Tank Gauging I SIR Equipment; <br />E <br />o 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 />ompiete tne Twiowing <br />x Yes [i No* <br />c K115c. <br />Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br />x Yes <br />Lj <br />No* <br />Were all tank gauging probes visually inspected for damage and residue buildup? <br />x Yes <br />[I <br />No* <br />Was accuracy of system product level readings tested? <br />x Yes <br />Lj <br />No* <br />Was accuracy of system water level readings tested? <br />x Yes <br />r] <br />No* <br />Were all probes reinstalled properly? <br />x Yesj <br />n- <br />—j4oe7---- <br />j Were all items on the equipment manufacturer's maintenance checklist completed? <br />I <br />* In the Section H, below, describe how and when these deficiencies were or will oe correcTeu. <br />G. Line Leak Detectors (LLD): Ei, Check this box if LLDs are not installed. <br />Com fete tne touowmg <br />0 Yes P Ne <br />c <br />KHM; <br />For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? (Check all <br />a <br />N/A <br />that apply) Simulated leak rate: ,❑-�3g.p.h.; 00.1g.p.h; 50.2g.p.h. <br />11, <br />Yes <br />F. <br />Ne <br />Were all LLDs confirmed operational and accurate within regulatory requirements? <br />F] <br />Yes <br />11 <br />No* <br />Was the testing apparatus properly calibrated? <br />U <br />Yes <br />n <br />No* <br />For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br />II <br />I❑ <br />N/A <br />o <br />Yes <br />0 <br />No* <br />For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br />0 <br />Yes <br />ii <br />ci <br />NIA <br />No* <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or <br />J <br />disconnected? <br />F-1 <br />Yes <br />i7i <br />-N/A <br />No* <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or <br />U <br />N/A <br />fails a test? <br />0 <br />Yes <br />L, <br />No' <br />For electronic LLDs, have all accessible wiring connections been visually inspected? <br />U <br />N/A <br />o <br />Yes <br />n <br />No* <br />were all items on the equipment manufacturers maintenance checklist completed? <br />* In the Section H, below, describe how and when time deficiencies were or will be cor <br />Monitoring System Certification <br />�M <br />W-bA <br />3 2/21/07 <br />