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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 chocklist: <br /> ® Yes ❑ No* Has all Input wiring been inspected for proper entry and 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 /> ® Yes ❑ No* Was accuracy of system water level readings tested? f <br /> 19 Yes ❑ No* Were all probes reinstalled properly? 33 <br /> ® Yes ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? <br /> i <br /> * to Section H, below, describe how and when these deficiencies were or will be corrected. <br /> Line Leak Detectors (LLD): ❑ Check this box If LLDs are not Installed, <br /> complete the foilowin checklist: <br /> 0 Yes ❑ No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? (Check all that apply) <br /> ❑ NIA Simulated leak rale: ® 3 g.p.h.; ❑ 0.1 g.p.h ; ❑ 0.2 g.p.h. <br /> �I Yes ❑ No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> Yes ❑ No* Was the testing apparatus properly calibrated? <br /> Yes ❑ No* For mechanical LLDs, does the LLD restrict product flow if It detects a leak? i <br /> ❑ N/A <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 disconnected? <br /> i <br /> ® NIA <br /> ❑ Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or falls a test? <br /> ® NIA <br /> ❑ Yes ❑ No* For electronic LLDs, have all accessible wiring connections been visually Inspected? i <br /> ® NIA <br /> ® Yes ❑ 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 /> i <br /> i <br /> H. Comments : <br /> Monitoring System Certification Page 3 of 4 2/21 /07 <br />