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Monitoring System Certification <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 leak detection monitoring. <br />Complete the following checklist: <br />✓ Yes <br />Lj No* <br />Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br />❑✓ Yes <br />❑ No* <br />Were all tank gauging probes visually inspected for damage and residue buildup? <br />❑✓ Yes <br />No* <br />Was accuracy of system product level readings tested? <br />❑✓ Yes <br />❑ No* <br />Was accuracy of system water level readings tested? <br />❑✓ Yes <br />❑ No* <br />Were all probes reinstalled properly? <br />✓ Yes <br />No* <br />I Were all items on the equipment manufacturer's maintenance checklist completed? <br />*In Section H, below, describe how and when these deficiencies were or will be corrected. <br />G. Line Leak Detectors (LLD): 0 Check this box if LLDs are not installed. <br />Complete the following checklist: <br />❑ Yes <br />No* <br />For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performanceMock all that <br />H N/A <br />apply) Simulated leak rate: ❑ 3 g.p.h. [10. 1 g.p.h. ❑ 0.2 g.p.h. <br />❑ Yes <br />❑ No* <br />Were all LLDs confirmed operational and accurate within regulatory requirements? <br />❑ Yes <br />❑ No* <br />Was the testing apparatus properly calibrated <br />❑ Yes <br />H <br />No* <br />For mechanical LLDs does the LLD restrict product flow if it detects a leak? <br />N/A <br />Yes <br />El <br />No* <br />For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br />❑ <br />N/A <br />❑ Yes <br />❑ <br />No* <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or <br />❑ <br />N/A <br />disconnected? <br />❑ Yes <br />❑ <br />No* <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails <br />❑ <br />N/A <br />test? <br />❑ Yes <br />❑ <br />No* <br />For electronis LLDs, have all accessbiele wiring connections been visually inspected? <br />❑ <br />N/A <br />=Yes <br />❑ <br />No* <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />In Section H, below, describe how and when these deficiencies were or will be corrected. <br />H. Comments: <br />Page 3 of 3 <br />