COMPLIANCE INFO 2001-2012 - Laserfiche WebLink

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F. In-Tank Gauging/SIR Equipment: eCheck this box if tank gauging is used only for inventory control. ❑ Check this box if no tank gauging or SIR equiprheent is installed. This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. Complete the followiM checklist: ❑ Yes 1 ❑ No* Has all input wiring been inspected for proper entry 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 system 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 It 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. Complete the following checklist: i�rYes ❑ No* For equipment start-up or amoral equipment certification, was a leak simulated to verify LLD performance? ❑ N/A (Checkall that apply) Simulated leak rate: 26 g.ph; ❑0.1 g.p h; ❑0.2 g.ph Yes ❑ No* Were all LLDs confirmed operational and accurate within regulatory requirements) es ❑ Na* 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? eN/A ❑ Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled C'N/A or disconnected? ❑ Yes ❑ No* For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions QKN/A or fails a test? ❑ Yes ❑ No* For electronic LLDs,have all accessible wiring connections been visually inspected? GAN/A Yes ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? *In the Section II.below,describe how and when these deficiencies were or will be corrected. IL Comments: THS Vic5c-z TUR/Sjtj LG D i5 A Z'O� PE7_ /jC &5k4(ty e4MoJJ6 oS8 Gv6yL7 /M1 SfF3LL l7 Page 3 of 3 o�ul 4 '