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Mab 19 05 11 : 01a Af da-Test est (208) 94-0112 <br /> t <br /> ftlonitnring System CcrtMcalion <br /> Site Address;._���4 _ ��Yf t17t t?!" :[J C'�• ��Y. C�'-°_r [)ante of'I'estin<+ Servicing;: <br /> F. In-Tank Gauging/:Slit iUluipinent: heck this box if tank gauging;is used only for inventory control, <br /> U Check this box ifno tank gatic ing or Slit equipment is installed. <br /> -Mis section must be Connpleted il'in-tank Raugillg equipment is ttsed to perform leak detection monitoring. <br /> Complete the following checklist: <br /> ❑ Yes ❑ No* Has all input wiring been inspected fir proper entry and termination, including testing for ground faults? <br /> ❑ Yes ❑ No* Were all tank gauging probes visually inspected liar damage and residue buildup! <br /> • Yes ❑ No" Was accuracy orsystcm product level readings tested? <br /> O yes Cl No* Was accuracy of system water level readings tested'? <br /> O Yes 1 O No* I Were all probes reinstalled properly? <br /> CI Yes ❑ No* I Were all !leans on the equipment manuracturer's maintenance checklist completC(l? <br /> * In the Section H,below,describe how and when these deficiencies were or will be corrected. <br /> G. Line Leak Detecton (LLD): Q Check this box ii'LLUs arc not installed. <br /> Cowkic the following checklist: <br /> Yes Ca No* For equipment start-up or annual equipment certification, was a Irak simulated to verify LLD performance? <br /> ❑ N/A (Check u!/that opply) Simulated leak rate: 31g.p.lz.; ❑0.1 g.p.lt; ®0,2 <br /> Xes O No" Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> Y ❑ No* Was the testing apparatus properly calibrated? <br /> YCs ❑ No* For mechanical I.I.M.does the LI.D restrict product flow if it detects a leak? <br /> ❑ N/A <br /> I3 Yes 0 No* For electronic LLDs,docs the turbine automatically shut off'if'the LLD detects a leak? <br /> Ol /A <br /> O Yes O * For electronic LIAR docs the turbine automatically shut ofl'if any portion of-the monitoring system is disabled <br /> Q N/A or disconnected? <br /> O Yes ❑ For electronic LLUs, (foes the turbine automatically shut off if any portion of the monitoring system <br /> NIA malfunctions or fails a test'? <br /> ❑ Ycs O N * Forelectronic U.0s,have all accessible wiring connections been visually inspected? <br /> N/A <br /> Yes ® No* Were all items on the equipment manufacturer's maintenance checklist completed? <br /> In the Section 01,below,describe how and when these deCciencies were or will be corrected. <br /> H. Comments: <br />