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Monitoring System Certification <br /> F. In-Tank Gauging/SIR Equipment: 0 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 - ❑ No* Has all input wiring been inspected proper en an termination,including testing for ground faults? <br /> ❑ Yes ❑ No* Were all tank gauging probes visually inspected for damage and residue buildup? <br /> ❑ Yes ❑ No* Was accuracy of system product level readings tested? <br /> Were <br /> a <br /> e <br /> all <br /> input <br /> wiring <br /> gauging <br /> rn g been <br /> inspec <br /> Has <br /> e <br /> :k gmg probes vi <br /> Was a system <br /> product <br /> accuracy <br /> t r <br /> s= <br /> cc cy 0 s I <br /> E] Yes Fl No* Was accuracy of system water level readings tested? <br /> I <br /> n Yes 0 No* Were all probes reinstalled properly? <br /> I <br /> W r 11 it ms 0 equipment <br /> manufacturer's maintenance checklist completed? <br /> El Yes n No* Were all items on the equipment <br /> In ,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 /> Com lete the follo ing checklist: <br /> 0 Yes ❑ No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br /> ❑ N/A (Check all that apply) Simulated leak rate: 0 3 g.p.h.; ❑0.1 g.p.h; ❑0.2 g.p.h. <br /> Com <br /> ' <br /> let <br /> e"' simulated to verify L7LDperfbrmajnc]e? <br /> FYe g.p.h. <br /> _t _h_7 <br /> g <br /> ts? <br /> Yes <br /> 0 <br /> 0 <br /> Z Yes ❑ No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> 0 Yes ❑ No* Was the testing apparatus properly calibrated? <br /> [❑ <br /> 0 Y E:]�No* For mechanical LLDs,does the LLD restrict product now if it detects a leak? <br /> I Yes <br /> 0 N/A <br /> Y ❑ <br /> Yes <br /> El No* For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> ❑ <br /> 0 N/A <br /> disabled <br /> Y <br /> 0 RYes ❑ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is di <br /> ❑ N/A or disconnected? <br /> ❑ No* For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions <br /> ❑ N/A or fails a test? <br /> tLj "I"k <br /> 0 Yes ❑ No* For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> 0 <br /> ❑ N/A <br /> gYes ❑ 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 /> Comments: <br /> Page 3 of 4 <br />