COMPLIANCE INFO_PRE 2019 - Laserfiche WebLink

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.n Site Address: )(Dy7Q Co-mbriCl Ufkc p� eik '...,.eteofTesting/Servicing: 5 /i9 /O(p F. In-Tank Gauging/SIR Equipment: heck this box if tank gauging is used only for inventory control. ❑ Check this box if no tank gauging or SIR equipment is installed. This sectiommust be completed if in-lank gauging equipment is used to perform leak detection monitoring. Complete the following checklist: ❑ Yes ❑ No* Has all input wiring been inspected for proper entr='estmg cluding testing for ground faults? ❑ Yes ❑ No* Were all tank gauging probes visually inspected foe buildup?❑ Yes ❑ No* Was accuracy of system product level readings test❑ 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 macompleted? * In the 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: PYesC3 For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? (Check all that apply) Simulated leak rate:X3 g.p.h.; ❑ 0.1 g.p.h ; ❑ 0.2 g.p.h. Were all LLDs confirmed operational and accurate within regulatory requirements? Was the testing apparatus properly calibrated? For mechanical LLDs, does the LLD restrict product Flow if it detects a leak? ❑ Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? I AX N/A ❑ Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled At N/A or disconnected? ❑ Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system AN/A malfunctions or fails a test? ❑ Yes ❑ No* For electronic LLDs,have all accessible wiring connections been visually inspected? N/A 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: