COMPLIANCE INFO 2004-2009 - Laserfiche WebLink

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F. In-Tank Gauging/SIR Equipment: ■ Check this box if tank gauging is used only for inventory control. ❑ Check this box if no tank gauging or SIR equipment is installed. This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. Complete the folhewin checklist: ❑ Yes ❑ No* I Has all input wiring been inspected for proper critry and termination, including testing for ground faults? ❑ Yes ❑ No* Were all tank gauging probes visually inspected for damage and residue buildup'? ❑ Yes ❑ No* Was accuracy of system product level readings tested:' ❑ Yes ❑ No* Was accuracy of s)stem water level readings tested`? ❑ Yes ❑ No* Were all probes reinstalled properly? ❑ Yes ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? * In the Section H,below,describe how and when these deficiencies were or will be corrected. G. Line Leak Detectors (LLD): ❑ Check this box if LLDs are not installed. Complicle the followinz checklist: _ • Yes ❑ No* For equipment start-up or annual equipment certification, was a Irak simulated to verity LLD performance? ❑ N/A !Check all that applvj Simulated leak rate: 0 3 g.p.h.; ❑0,1 g.p.h; ❑0.2 g.p.h. 0 Yes ❑ No* Were all LLDs confirmed operational and accurate within regulatory requirements' 10 Yes ❑ No* Was the testing apparatus properly calibrated° ■ Yes ❑ No* For mechanical LLDs,does the LLD restrict product flow if it detects a leak? ❑ N/A ❑ Yes ❑ No* For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? ■ N/A ❑ Yes ❑ No* For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system is disabled * NIA or disconnected'' ❑ Yes ❑ No* For electronic LLDs. does the turbine automatically- shut off if any portion of the monitoring system i • WA malfunctions or fails a test? ❑ Yes ❑ No* For electronic LLDs. have all accessible wiring connections been visually inspected? ■ N/A 4 Yes ❑ No* Were all items on the equipment mamffacturcrs maintenance checklist completed'? �_— * to the Section H.below,ilewdbe bow and when these defciencles were or will he corrected. v ti. t'omments: page 3 of 3 atrot