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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 checklist: <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? <br /> ❑ Yes ❑ No* Were all probes reinstalled properly? <br /> ❑ Yes ❑ No* Were all items on the equipment manufacturers maintenance checklist completed? <br /> * In 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 /> Com fete the following checklist: <br /> ® Yes ❑ No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? (Check all that apply) <br /> ❑ N/A Simulated leak rate: ® 3 g .p. h .; ❑ 0. 1 g .p. h ; ❑ 0.2 g . p. h. <br /> ® 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? <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 /> ® N/A <br /> ❑ Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? <br /> ® N/A <br /> ❑ Yes ❑ No* For electronic LLDs, have all accessible wiring connections been visually inspected? <br /> ® N/A <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 /> H . Comments : <br /> Monitoring System Certification Page 3 of 4 2/21 /07 <br />