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F. In -Ta uGauging / SIR Equipment: OCheck this box a tank gauging is used only for inventory contiol <br />OCheck this box nnolank gauging or SIR equipment winstalled. <br />mmsecoon must bwcompleted am-iamwgauging equipment isused `wperform look ueleco nm*nwonou <br />Complete the following checklist: <br />ED Yes <br />No- <br />Has all Input witing been inspectea for proper entryana twminabon, including testing for grour%d faults? <br />es <br />0 <br />No' <br />Were all tank gauging probes visually inspecled for 41a g ndr iduetwildup? <br />Yes <br />No* <br />Ware all LLDs Confirmed operational and accurate vvithin regulatory requirements? <br />Was accuracy of System product lgwer readings jesedq <br />Yes <br />0 <br />W <br />Was accuracy of System water Igyaj readings lesIM? <br />For mechanical 1.10s. does tne, LLD restrict product 4ow ir -1 detccis a leak) <br />0 <br />No* <br />Were all probes reinsialled properly? <br />ETYe <br />Y-r-'=1 0 No- <br />Were oV iterris on the eqvipment manufaclUrerS momtenance checKlist completed? <br />Line Leak Detecton (LLD): C3 Chock this box if LLDS are not installed <br />H. Comments! <br />Monitoring System Certification Page 3"x4 2�21m7 <br />M Yes <br />0 No, <br />Pot eqWpmenl start-up or annual equipment Cori W85 8 leak simulated to verily LLD Porformarice7 (check ow that appvy) <br />Yes <br />No* <br />Ware all LLDs Confirmed operational and accurate vvithin regulatory requirements? <br />Yes <br />No' <br />Was the losing apparatus properly calibrated? <br />Yes <br />No' <br />For mechanical 1.10s. does tne, LLD restrict product 4ow ir -1 detccis a leak) <br />NIA <br />0 No' <br />For etectrodc LLD$, does the turbine _aulomalcaUy shut off if the LLD detects a Wk? <br />0 WA <br />1 0 Yes <br />0 No* <br />For elet2forix: LLDs. does the turbine automatically shut oVI if any parlion of the monitoring System is disabled or disconnectw? <br />Yes <br />0 No* <br />For eleotonic LLOs_ does the turnine aulo"tically shui of' d any potion of the Monitonng SVstem mWfunctions or fails a test? <br />0 Yes <br />0 NO' <br />1, I.Ds. nave all OcWssible wring conricclions been visually inspocteV <br />NIA <br />s <br />No- <br />Were all items on the equipment manufacturers maintenance checklist complated? <br />H. Comments! <br />Monitoring System Certification Page 3"x4 2�21m7 <br />