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F. In-Tank Gauging I SIR Equipment: ❑ Check this box if lank gauging is u 01111 f r inventory control. ❑ Check this box if no tank gauging SIR e u pment is installed. This section must be completed if m tank gauging equipment is used to perform leak detection monitoring. Complete the following checklist: ❑ Yes ❑ Not Has all input wiring been inspected for proper entry and termination, including testing for group, faults? ❑ Yes ❑ Now Were all tank gauging probes visually inspected for damage and residue buildup? i ; ❑ Yes ❑ Now Was accuracy of system product level readings tested? ❑ Yes ❑ Not Was accuracy of system water level readings tested? ❑ Yes ❑ Now Were all probes reinstalled properly? ❑ Yes ❑ No` Were all items on the equipment manufacturer's maintenance checklist completed? In Section H, below, describe how and when these deficiencies were or will be corrected. Line Leak Detectors (LLD): ❑ Check this box if LLDs are not installed . Complete the followingchecklist: E7 Yes ❑ Not For equipment start-up or annual equipment certification, was a leak simulated to verify L 0, perf up iance? (Check all that apply) ❑ N/A Simulated leak rate: 0 3 g p.h.; ❑ 0.1 g.p h , ❑ 0.2 g.p.h. ❑ Yes ❑ No' Were all LLDs confirmed operational and accurate within regulatory requirements? El Yes ❑ Now Was the testing apparatus properly calibrated? © Yes ❑ Not For mechanical LLDs, does the LLD restrict product flow if it detects a leak? ❑ WA ❑ Yes ❑ No` For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? © WA ❑ Yes ❑ Not For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring Sys LrI is di led or disconnected? B WA ❑ Yes ❑ Not For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring Sys m mai ctions or fails a test? ❑ WA ❑ Yes ❑ Not For electronic LLDs, have all accessible vdring connections been visually inspected? © WA Q Yes ❑ Not Were all items on the equipment manufacturer's maintenance checklist completed? in Section H, below, describe how and when these deficiencies were or will be corrected. H. Comments: ALL 3 LDS PASSED i ; Monitoring System Certification Page 3 of 4 ! 2/21107 1 ! i