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MoOcring System Certification <br /> " Site Address: (�y ammer '- `t 4.1 . -?o_`r ; 11` Date.11'esting/Servicing: <br /> 05- <br /> F., In-Tank Gauging/ SIR Equipment: 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 in-tank gauging equipment is used to perform Icak detection monitoring. <br /> Complete the following checklist: <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 ❑ No* 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 /> ❑ Yes I ❑ No* 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 /> G. Line Leak Detectors (LLD): ❑ Check this box if LLDs are not installed. <br /> Com etc the following checklist: <br /> Yes ❑ No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br /> ❑ N/A (Check all that apply) Simulated leak rate: 3 g.p.h.; ❑0.1 g.p.h ; E3 0.2 g.p.h. <br /> IT Yes ❑ No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> Y ❑ No* Was the testing apparatus properly calibrated? <br /> Yes ❑ No* For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br /> ❑ N/A <br /> ❑ Yes ❑ No* For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> !/A <br /> ❑ Yes ❑ Na* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> eNIA or disconnected? <br /> ❑ Yes ❑ * For electronic LLDs, does (lie turbine automatically shut off if any portion of the monitoring system <br /> N/A malfunctions or fails a test? <br /> ❑ Yes �❑ NN** For electronic LLDs, have all accessible wiring connections been visually inspected? <br /> t_f N/A <br /> Yes ❑ No* 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 /> H. Comments: <br />