COMPLIANCE INFO_2002 - 2004 - Laserfiche WebLink

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• F. In-Tank Gauging I SIR Equipment: ❑ Check this box if tank gauging is used only for inventory c�dntrol 'W-Check this box if no tank gauging or SIR equipment is installed: Tl1is section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. Com lete the following checklist: ❑ Yes ❑ No* I Has all input wiring been inspected for proper entry and termination, including testing for ground faults? Cl Yes ❑ No* Were all tank.gauging probes visually inspected for damage and residue buildup? ❑ Yes ❑ .No* Was accuracy of system product level readings tested? Z. ❑ 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 H, below, describe how and when these deficiencies were or will be corrected. G. Line Leak Detectors (LLD): Clieck this box if LLDs are not installed. Com lete the following checklist: ❑ Yes ❑ No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? ❑ NIA (Check all that apply) Simulated leak rate: ❑3 g.p.h.; ❑ 0.1 g.p.h ; Ll 0.2 g.p.h. ❑ Yes ❑ No* Were all LLDs confirmed operational and accurate within regulatory requirements? ❑ Yes ❑ No* Was the testing apparatus properly calibrated? ❑ Yes ❑ No* For mechanical LLDs, does the LLD restrict product flow if it detects a leak? ❑ NIA ❑ Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? ❑ N/A I Yes ❑ -No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled 13 N/A or disconnected? ❑ Yes Cl No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions ❑ N/A or fails a test? ❑ Yes ❑ No* For electronic LLDs,have all accessible wiring connections been visually inspected? ❑ NIA ❑ Yes ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? In the Section H, below, describe how and when these deficiencies were or will be corrected. H. Comments: Page 3 of 3 03I0]