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F. In-Tank Gauging/SIR Equipment: ❑ Check this box if tank gauging is used only for inventory control. <br /> E] 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 teak detection monitoring. <br /> Complete the following checklist: <br /> [j Yes E] No' Has all input wiring been inspected for proper entry and termination,including testing for ground faults? <br /> El Yes [D No' Were all tank gauging probes visually inspected for damage and residue buildup? <br /> [] Yes E] No* Was accuracy of system product level readings tested? <br /> E] Yes E] No* Was accuracy of system water level readings tested? <br /> 0 Yes E] No' Were all probes reinstalled properly? <br /> [] Yes E] 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): E] Check this box if LLDs are not installed. <br /> Complete the following checklist: <br /> No- For equipment start-up or annual equipment certification,was a leak simulated to verity LLD performance? (Check all <br /> N/A that apply) Simulated leak rate:[]3 g.p.h.;[]0.1 g.p.h ;FJ0.2 g.p.h. <br /> Yes T–T—No' Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> Yes TT Was the testing apparatus properly calibrated? <br /> El Yes No* For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> NiA <br /> 0 <br /> El Yes No* <br /> For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> /A <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 /> R N/A disconnected? <br /> El 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 /> I H 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 /> see page 2 <br /> Monitoring System Certification Page 3 of 4 12I07 <br /> 3 2/21/07 <br />