Laserfiche WebLink
Stent 8y: PARTHIAN; • 9259731011 ; Aug-10-01 5:15PR+1; Page 4/9 <br /> it+lapiitoring System Certification • <br /> S to Address: Date of?'estinglscrvicing: <br /> F. 17t-Tank Gauging/SIR quipment: ❑ Check this box if tank gauging is used only for <br /> 0 Check thi¢bax if no tank au in or SIR ui <br /> l3 s� S eq J >ql <br /> This section must be completed if in-tame gauging equipment is used to perform leak detection <br /> MO.W <br /> coshoku tlb4 to I ing checklist: <br /> YesR(3Wo_- r <br /> Has all input wiring been inspected for proper entry and termination,including tes g for grnttrtd <br /> `Yate Were all Bank gauging Arabes visually inspected for+damage and residue buildup? <br /> Yes Was accuracy o system product level readittl�tested? • <br /> tYss,'. Was accutstcy o systattt water level readings testC4? <br /> ' Yea Were all probes reinstalled properly? <br /> lyes' Ware ell items on the equipmentmanufacturer's maintenance checklist completed? <br /> r <br /> In the Section H,below,describe how and when these deffclencles were or will he corrected. <br /> G. Lime D"ecturs{LL A. (,.heck this box if IAA)s are not installed, <br /> tai Ng cheemist: <br /> Yes ❑ No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLU <br /> 0 N/A (Check all Mal apply) Simulated leak rate: 0 3 h.; U Q.t <br /> � g.p, g.p.h; ❑Q.Z g.p.h. <br /> r7ta : .:Ll No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> 'ilea ❑ No es the testing apparatus,properly calibrated? -. <br /> a Yes C7 No* For mechanical LLDs,does the LLD]restrict product flow if it detects a Iegk7 i <br /> i ❑ N/A , <br /> CI Yes ❑ Not For electronic LLDs,does the turbine automatically shot off tf the LL ;dd&ti k leak? <br /> 0 N/A �r� > <br /> Q Yes U iso* For electronic LLDs, does the turbine automatically shut oft:if any portion of the ntonitoriing x � <br /> ❑ N/A or disconnected? s <br /> Q Yes C3 No* For electronic LLDs, does the turbine automatically shut off if any portion of them y; <br /> h,y <br /> i ❑ N/A malfunctions or fails a test? <br /> Yea Cl No" For electronic I.LDs,,have all accessible wiring connectioms been visually inspected? <br /> NIA <br /> Yea Q Not Were all items on the equipment manufacturer's maintenance checklist completed? <br /> ;U the Settiott H,below,describe how and when these deficiencies were or will he corrected. <br /> 9 <br /> re _ <br /> , <br /> Page 3of3p ! ,' <br />