Laserfiche WebLink
• 0 RECEIVED <br /> F. In-Tank Gauging 1 SIR Equipment: ED Check this box if tank gauging is used only for inventory c99 <br /> 012014{n <br /> 14 <br /> ❑ Check this box if no tank gauging or SIR equipment is ins A <br /> This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. <br /> Complete the following checklist: ENVIRONMENTAL HEALTH <br /> S <br /> • Yes ❑ No' 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 /> 0 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 /> 0 Yes 1 ❑ No' I Were all items on the equipment manufacturer's maintenance checklist completed? <br /> In Section H,below,describe how and when these deficiencies were or will be corrected. <br /> Line Leak Detectors(LLD: ❑ Check this box if LLDs are not installed. <br /> Complete the following checklist <br /> Yes ❑ No' For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? (Check all that apply) <br /> N/A Simulated leak rate: ®3 g.p.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 ❑ No' Was the testing apparatus property calibrated? <br /> Yes ❑ No' For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> ❑ NIA <br /> ❑ Yes ❑ No' For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> Z NIA <br /> ❑ Yes ❑ No' For electronic LLDs,does the turbine automatically shut off 4f any portion of the monitoring system is disabled or disconnected? <br /> ® NIA <br /> ❑ Yes ❑ No' For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? <br /> ® NIA <br /> ❑ Yes ❑ No' For electronic LLDs,have all accessible win ng connections been visually inspected? <br /> ® NIA <br /> ® Yes ❑ No` Were all items on the equipment manufacturers maintenance checklist completed? <br /> 'In Section H,below,describe how and when these deficiencies were or will be corrected. <br /> H. Comments: <br /> Monitoring System Certification Page 3 of 4 2/2 1/07 <br />