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6E T TL ER-RyAti Imc. 0 GR Job# 20-631615 <br /> F. In-Tank Gauging I SIR Equipment: 0 Check this box if tank gauging is used only for inventory control. <br /> [3 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 clettictiori monitoring. <br /> Complete the following checklist: <br /> a--ye—s -0--NdHas all input wiring been inspected for proper entry and termination,including testing for ground faults? <br /> G Yes 0 NO* Were all tank gauging probes visually inspected for damage and residue buildup? AUU 1-2 Z <br /> Cy Yes [3 NW Was accuracy of system products level readings tested? <br /> Ej Yes 0 Ne Was accuracy of system water level readings tested? <br /> ff Yes [3 NO* Were all probes reinstalled properly? <br /> [j Yes 1 [3 Ne Were all items on the equipment manufacturer's maintenance checklist completed? <br /> *In fhe Section H,below,describe how-wnd'when-ffi-e—se deficiencies were or 7will be corrected. <br /> G. Line Leak Detectors(LLD}: [I Check this box if LLDs are not installed. <br /> Complete the following checklist <br /> [3 -Yes 0--Wo—For equiFx-mnt start-up or annual equipment certification,was a leak s-jm-u-9Te=VeFly LLD performance?tche-ckaff— <br /> [] N/A that apply)Simulated leak rate: [3 3 g.p.h. 13 OA g.p.h, [] 0-2 g.p.h. <br /> [3 Yes 13 NO* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> 13 Yes [3 NO* Was the testing apparatus property calibrated? <br /> 11 Yes No* For Mechanical LLDs,does the LLD restrict product flow if it detects a leA? <br /> ❑ WA <br /> 13 Yes El No* For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> 1 13 WA <br /> 13 Yes 13 No' For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system is disabled or <br /> 1 [3 WA Disconnected? <br /> Yes [] Ne For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions or <br /> 1 [3 WA fails a test? <br /> 13 Yes 13 For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> 1 13 N/A I <br /> E3 Yes 1 13 NW 1were an items on the equipment manufacturers maintenance checklist completed? <br /> b;S;;,—desc%-e-9o­waiQGfien these"e c-1enc 7Ws­were­o­rw-lffU—corrected. <br /> G. Comments: <br /> Did not test LL 's <br /> Monitoring System Certificadon Pap 3 of 4 12107 <br /> 3 <br />