Laserfiche WebLink
Monitoring System CQrtlfloation <br />DEC 1171 2013 <br />ENVIRO(ll IENTAL <br />F. In -Tank Gauging / S>Cl2 Equipment: Check this box if teak an ' is use E L H p IT, <br />g guilt used yor rev Lary control, <br />❑ Check this box if no tank gauging or SIR equip is installed. <br />'This Section must be completed if in -tank gauging egtupMent;is used to perform leak detection moan oring. <br />Complete the following (!beeklist: <br />❑ yes ❑ No* Has all input wiring bcxsu proper inspected for ro <br />P p P entry and termination, including testing for ground ts? <br />q Yes p No* Were all tank gauging probes visually inspected for damage and residue buildup? <br />❑ Yes ❑ Now Was accuracy Of system product level readings tested? <br />I� Yes ❑ No* Was accuracy of system water level readings tested? <br />❑ Yes ❑ No* Were all probes reinstalled properly? <br />Q Yes [] No* Were all items on the equipment nmufacturer's maintenance checklist completed? <br />Yn SectiOn H, below, describe bow and when these deficiencies were or will be corrected. <br />G. Line Leak Detectors (LLD). ❑ Check this boy: if LY, arc not installed. <br />A Yes <br />❑ No* <br />El N/A <br />For equipment start-up or annual equipment oertifica don, was a leak simulated to uerify LLD? <br />(Check all that apply) Simulated leak rate: 9 3 g.P.h.; ❑ 0.1 0.2 Mance <br />g Ph ❑ <br />Yes <br />q No" <br />_ g.p.h. <br />Were all LLDs confirmed operational and accurate within regulatory requirements? <br />Yes <br />© No'o <br />Was the testiug apparatus properly calibrated? <br />f YeS <br />C1 No* <br />For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br />❑ N/A, <br />No* <br />IFOr electronic LLDs, does the turbine automatically shut Off if the <br />LLD detects a lealeak? <br />NIA <br />[E] ?YesCl <br />No*For <br />electronic LLDs, does the turbine autotnatically shut bff if any portion ofthemonitoringsys is disabled <br />NIA <br />or disconnected? <br />❑ Yes <br />0 No* <br />For oludrunic LLDs, does the turbine automatically Shut off if any portion of the monitoring <br />(4 NIA <br />or fails a test"? system malfil ncdons <br />❑ Yes <br />M 140* <br />9( N/A <br />For c1cQtrouh; LLDs, have all accessible wiring conacctions been visually inspected? <br />LEYE <br />❑ No* <br />Were all items on the equipment n1mufacttvcr's mautteaw= checklist completed? <br />* In Section H, below, deser%be how and when these deficiencies were or will be corrected. <br />H. Comments: <br />— <br />4 <br />11N-036 - 5/6 <br />i <br />Page 3 Of 4 <br />www.aaidorxo�' <br />IT0Z!'�T/ZT <br />TT/bpi <br />1117)"d <br />(100 _,V9 3,1n t Fr:PT <br />