COMPLIANCE INFO_2005 - 2010 - Laserfiche WebLink

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. .�•o+.gv�oicm a.crulicalloo Mo ra��,ev(on , Site Address: f ' t 0�l + p / ��/ � ' a� � a< � V a of'I'esting/Servicing: K In-Tank Gauging/SIR Equipment: � 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-lank gauging equipment is used to perform leak detection monitoring. Complete the following checklist: ❑ Yes ❑ Now Has all input wiring been inspected for proper entry and termination, including testing for ground faults? ❑ Yes ❑ Now Were all tank gauging probes visually inspected for damage and residue buildup? ❑ Yes ❑ Now Was accuracy of system product level readings tested? ❑ Yes ❑ Now Was accuracy of system water level readings tested? ❑ Yes ❑ Now Were all probes reinstalled properly? ❑ Yes ❑ Now Were all items on the equipment manufacturer's maintenance checklist completed? * In the Section H, below, describe now and when these deficiencies were ur w111 be corrected. G. Line Leak Detectors (LLD): ❑ Check this box if LLDs are not installed. Complete the following checklist: ITYes ❑ No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? ❑ N/A (Check all that apply) Simulated leak rate: ❑g p.h.; ❑ 0.1 g.p.h ; L30.2 g.p.h. Q Yes ❑ Now Were all LLDs confirmed operational and accurate within regulatory requirements? Yes ❑ No* Was the testing apparatus properly calibrated? 3—Yes ❑ No* For mechanical LLDs,does the LLD restrict product flow if it detects a leak? ❑ N/A ❑ Yes ❑ Now For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? ❑-NA ❑ Yes ❑ No* For electronic LLDs, does fhe turbine automatically shut off if any portion of the monitoring system is disabled ❑N/A or disconnected? ❑ Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system l NIA malfunctions or fails a test? ❑ Yes ❑ NO For electronic LLDs, have all accessible wiring connections been visually inspected? U N/A U Yes ❑ Now 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: