Laserfiche WebLink
Monitoring System Certification <br /> F. In-Tank Gauging 1 S1R Equipment: x Check this box if tank gauging is used <br /> or SIR equipment TinvMtOrY i talled,MIMl- <br /> 0 Check this box if no tank gauging <br /> This section must be completed if in-tank gauging equipment is used to perform leak deUmtion monitoring, <br /> Cowfete the following checklist: <br /> ❑ Yes I LlNo* 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 1: No* Was accuracy of system product level:readings tested? <br /> ❑ Yes D Na* Was accuracy of system water level readings tested? <br /> ❑ Yes ❑ No* Were all probes reinstalled properly? <br /> C3 yes ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? <br /> k <br /> In the Section H,below,describe how and when these deficiencies were or will be corrected. <br /> G. Line Leak Detectors (LLD): ❑ Check this box if LLDs are not installed. <br /> Com lete the followin checklist: <br /> Fmayyeeesss <br /> ❑ No* Por equipment start-up or annual. equipment certification, was a leak simulated to verify LLD performance? <br /> ❑ NA (Check all that apply) Simulated leak rate: x 3 g.p.h- ❑ ©.1 g.p.h ; ❑0.2 g.p.h. <br /> ❑ NO Were all LLDs confirmed operational and accurate within regulatory requirements`? <br /> ❑ No* Was the testing apparatus properly calibrated? <br /> d No*FFormechanical LLDs,does the LLD restrict pmduct flow if it detects a leak? <br /> LJ NIA❑ No* electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> Ili NfA <br /> ❑ Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> ® N/A or disconnected? <br /> Yes ❑ No* For electronic LLDs,floes the turbine automatically shut off if any portion of the monitoring system malfunctions <br /> IM NIA or£ails a test? <br /> ❑ Yes ❑ No* For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> ® N/A <br /> M yes ❑ No* Were all items on the equipment manufacturer's ndaluternance checklist completed? <br /> IGa the Secdon H,below,describe how and'When these deficiencies were or will be corrected. <br /> 11. Comments: <br /> UN-036-314 Page 3 of 3 iiev.06/04M <br />