COMPLIANCE INFO_PRE 2019 - Laserfiche WebLink

Home Browse Search

MONIT(- LING SYSTEM CERTF43ATION CERTIFICATION / TEST DATE: June 12, 2009 A1. FACILITY A2. OWNER Name Circle K#2701205 Name Circle K Stores, Inc. Address 16470 Cambridge,Lathrop,CA 95330 Address 495 East Rincon St.,Ste 150, Corona, CA 92879 Phone# 209-858.4116 Phone# 951-270-5183 Contact Rex Abacan Contact Rex Abacan F. IN-TANK GAUGING /SIR EQUIPMENT: ❑ Check this box if tank gauging is used only for Inventory control. ❑ Check this box if no tank gauging or SIR equipment Is installed. This section must be completed if in-tank gaugung equipment is used to perform leak detection monitoring. Complete the following checklist: ❑ Yes ❑ No* Has all Input wiring been Inspected for proper entry and termination,including testing for ground faults? ❑ Yes ❑ No a Were all tank gauging probes visually Inspected for damage and residue buildup? ❑ Yes ❑ No' Was accuracy of system product level readings tested? ❑ Yes ❑ No' Was accuracy of system Water level readings tested? ❑ Yes ❑ No' Were all probes reinstalled property? ElYes ❑ No' Ware all Items on the equipment manufacturers maintenance checklist completed? In Section H below,describe how and when these deficiencies were or will be corrected. G. LINE LEAK DETECTORS (LLD): ❑ Check this box if LLDs are not installed. Complete the following checklist: ❑ Yes ❑ No* For equipment start-up or annual equipment certification,was a leak simulated to verify LLD performance? ❑ WA (check all that apply) S/mulatedleakrate: ■ 3g.p.h.; ❑ 0.1 g.p.h.; ❑ 0.2 g.p•h. ❑ Yes ❑ No' Were all LLD*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? ❑ N/A ❑ Yes ❑ No' For electronic LLDs,does the turbine automatically shut oft If the LLD detects a leak? ❑ N/A ❑ Yes ❑ No` For electronic LLDs,does the turbine automatically shut off If any portion of the monitoring system Is disabled ❑ WA or disconnected? ❑ Yes ❑ No• For electronic LLDs,does the turbine automatically shut off If any portion of the monitoring system malfunctions ❑ WA or fails a test? ❑ Yes ❑ No' For electronic LLDs,have all accessible Wiring connections been visually Inspected? ❑ WA ❑ Yes ❑ No* Were all Items on the equipment manufacturers maintenance checklist completed? In Section H below,describe how and when these deficiencies were or will be corrected. H. COMMENTS ®7008 Walton Engineering,Inc. Page 3 of 3