Laserfiche WebLink
7149782615 026 a.m. 10-20-2014 7/14 <br /> RECEIVED <br /> F.In-Tank Ganging I SHR Equipment: <br /> L✓ Check this box if tank gauging is used only forinventWPngoo 2014 <br /> r Check this box if no tank gauging or SIR equipment is installed <br /> This section mustbe completed if in-tank gauging equipment is used to perforin leak detection monitotgVIRONMENTAL HEALTH <br /> DEPARTMENT <br /> Complete the following checklist <br /> r Yes r No* Hes all input wiring been inspected for proper entry and termination,including testing for ground faults? <br /> f Yes r No* Here all tank gauging probes visually inspected fordamage and residue buildup? <br /> r Yes r No* Was uccumcy of system product level readings tested? <br /> F Yes r No* Was accuracy of system water level readings tested? <br /> F Yes r No* Were all probes reinstalled properly? <br /> r Yes r No" Were all items on the equipment manufacturer's maintenance checklist completed? <br /> *In die$eedan H,blow,describe how andwhen time deridencies were or will be rnmected. <br /> G.Line Leak Detectors(LLD): r Check this box if LLDs are not installed. <br /> Complete the following checklist <br /> F Yes r No* Forequipment start-up or annual equipment certification,was a leak simulated to verify LLD performance?(Check <br /> F_ N/A all that apply)Simulated leakrate: r 3gph.: r 0.1 gph: r 029.ph. <br /> r Yes r No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> ro Yes r No* Wes the testing apparatus properly calibrated? <br /> r Yes r No* For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> F NIA <br /> rYes rNo* For electrunic LLDs,don the turbine automatically shut off ifthe LLD detects aleak? <br /> F N/A _ <br /> F Yes r No* Forelcetronic LLDs,does the turbine automatically shut off if my portion of the monitoring system is disabled or <br /> F N/A disconnected? <br /> F Yes r No* For electronic LLDs,does the turbine automatically shut off ifany portion of the monitoring system malfunctions or <br /> F N/A fails a test? <br /> r Yes r No* For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> FN/A <br /> r Yes r No* Were all items on the equipment manufacturer's maintenance checklist completed? <br /> *In theSedbn H,bebw,describe haw and whars these delidendes were or will becorreded. <br /> H. Comments: <br />