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Monitoring System Certification 0 0 <br /> F. In-Tank Gauging/SIR Equipment: 0 Check this box if tank gauging is used only for inventory control. <br /> E1 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 /> El Yes El No;- Has all input wiring been inspected for proper entry and termination,including testing for ground faults? <br /> El Yes 0 No* Were all tank gauging probes visually inspected for damage and residue buildup? <br /> F1 Yes 0 No* Was accuracy of system product level readings tested? <br /> 0 Yes 0 No* Was accuracy of system water level readings tested? <br /> 0 Yes ❑ No* Were all probes reinstalled properly? <br /> 0 Yes 0 No* 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 /> Com fete the€oilowing checklist: <br /> - <br /> 0 Yes F1 No* -For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance?- <br /> rl N/A (Check all that apply) Simulated leak rate: 0 3 g.p.h.; El 0.1 g.p.h; 0 0.2 g.p.h. <br /> 10 Yes F1 No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> Z Yes C3 No* Was the testing apparatus properly calibrated? <br /> El Yes 0 No* For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> 0 N/A <br /> Z Yes 0 No* For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> [I N/A <br /> 10 Yes [I No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> [3 N/A or disconnected? <br /> Z Yes rl No* For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions <br /> n N/A or fails a test? <br /> 0 Yes [] No* For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> 0 N/A <br /> 0 Yes 0 No* 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 /> H. Comments: <br /> Page 3 of 4 <br /> UN-036—314 www.unidoes.org Rev.01/17108 <br />