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GETTtER-RYAN INC. <br /> GR Job# 2 -631615 <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. RECEIVEP <br /> Complete the following checklist: <br /> (g Yes ❑ o Has all input wiring been inspected for proper entry and termination,including testing for ground faults? <br /> ff Yes ❑ Ne Were all tank gauging probes visually inspected for damage and residue buildup? <br /> Yes ® No' Was accuracy of system products level readings tested? <br /> Yes ® No' Was accuracy of system water level readings tested? , <br /> r& Yes [3 NO* Were all probes reinstalled properly? <br /> Yes ❑ No' Were all items on the equipment manufacturers maintenance checklist completed? <br /> Int the Section H,below,describe how and when these deficiencies were or will be corrected. <br /> G. Line Leak Detectors(LLD): ❑ Check this box if LLDs are not installed. <br /> Complete the following checklist: <br /> ® es ❑ o or equipment s -up or annug—equipme—M certrucation,was a leak simu a Ven performance7(checx a <br /> ❑ N/A that apply)Simulated leak rate: ❑ 3 g.p.h. ❑ 0.1 g.p.h. ❑ 0.2 g.p.h. <br /> ❑ Yes ❑ Ne Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> ❑ Yes ❑ No" Was the testing apparatus property calibrated? <br /> ❑ Yes ❑ NW For Mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> ❑ WA <br /> ❑ 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 it any portion of the monitoring system malfunctions or <br /> N/A fails a test? <br /> ❑ Yes ❑ fW For electronic LLDs,have an accessible wiring connections been visually inspect? <br /> ❑ WA <br /> ❑ Yes ❑ No® 1were an items on the equipment manufacturers maintenance checklist completed? <br /> In the Section H,below,describe how aiQ W7m these deficlencks were or Will corrected. <br /> G. Comments: <br /> Did not test PLLD's <br /> Monitoring System Certification Page 3 of 4 12/07 <br /> 3 <br />