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F. In-Tank Gauging/SIR Equipment: p 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 it 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 /> [R] yes 0 No* Were all tank gauging probes Visually inspected for damage and residue buildup? <br /> E] Yes ❑ No* Was accuracy of system product level readings tested? <br /> [a Yes 0 No* Was accuracy of system water level readings tested? <br /> [] Yes 1-1 No* Were all probes reinstalled properly? <br /> B Yes 0 No* Were all items on the equipment manufacturer's maintenance checklist completed? 777 <br /> In the Section H,below,describe how and when these deficiencies were or will be corrected. <br /> j <br /> G. Line Leak Detectors(LLD): jQ Check this box if LLDs are not installed. <br /> Complete the following checklist: <br /> Yes No* For equipment start-up or annual equipment certification,was a leak simulated to verify LLD performance? (Check a)1 <br /> HN/A Neat apply) Simulated leak rate:E]3 g.p.h.;E10.1 g.p.h ;[0.2 g.p.h. <br /> Yes -[T-Nc,- were all LLDs confirmed operational and accurate within regulatory requirements? <br /> Yes -No' Was the testing apparatus properly calibrated? <br /> Yes No For mechanical LLDs,does the LLD restrict product flow if it defects a leak? <br /> N/A <br /> El Yes No* For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> N/A <br /> Yes No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or <br /> N/A disconnected? <br /> Yes ® No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or <br /> N/A fails a lest? <br /> Yes No For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> H N!A <br /> Yes JE] No* I 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 /> Monitoring System Certification Page 3 of 4 12/07 <br /> 3 2,121/07 <br />