Laserfiche WebLink
Oonitoring System Certification <br /> Site Address: 800 KETTLEMAN LN <br /> Date of Testing/Service: 05/02/2007 <br /> PTO N-85 <br /> 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 /> is section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. <br /> mplete the following checklist: <br /> ❑Yes ❑No` Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br /> 0 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 /> X❑Yes ❑No Were all items on the equipment manufacturers'maintenance checklist completed? <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 /> mplete the following checklist: <br /> For equipment start-up or annual equipment certification,was a leak simulated to verify LLD performance? <br /> Yes ❑No E]N/A (Check all that apply)Simulated leak rate: 9P <br /> ❑X 3 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 ❑NoWas the testing apparatus properly calibrated? <br /> ]Yes I ]No- ❑N/A For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> Yes ❑No= ❑N/A For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> Yes ❑No ❑N/A For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? <br /> Yes F-1 No ❑N/A For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? <br /> Yes ❑No ❑N/A For electronic LLDs, have all accessible wiring connections been visually inspected? <br /> Yes I❑No' Were all items on the equipment manufacturers'maintenance checklist completed? <br /> n the Section H, below,describe how and when these deficiencies were or will be corrected. <br /> -1. Comments: <br /> Page 3 of 3 Based on CA form dated 03/01 <br />