COMPLIANCE INFO_2016 - 2017 - Laserfiche WebLink

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F. In-Tank Gauging/SIR Equipment: ❑X 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 gauging equipment is used to perform leak detection monitoring. Complete the following checklist: ❑ �'cs ❑ No_ Has all input��i ring been inspected for proper entry and termination,including testing for ground faults? E:1Yes F-1 No* Were all tank gauging probes visually inspected for damage and residue buildup? 4 ❑Yes ❑No* Was accuracy of system product level readings tested? ❑ 1'es ❑No* Was accuracy of system water level readings tested? ❑ Yes ❑No* Were all probes reinstalled properly? ❑Ye1.s ❑No* Were all items on the equipment manufacturer's maintenance checklist compl to In the Section 11,below describe how andwhen these deficiencies were orwilI be corrected. G.Line Leak Detectors(I.LD): ❑ Check this box if LLDs are not installed. ENVIRONMENTAL HEALTH DrIz:PARTr1 ENT Complete the following checklist: 0 1"cs ❑No* For equipment start-up or annual equipment certification,was a leak simulated to verify LLD performance?(Check ❑N/A all that apply) Simulated leak rate: ❑X 3g.p.h.; ❑0.1 g.p.h;❑0.2g.p.h. 0 1'cs ❑No* Were all LLDs confirmed operational and accurate within reUulatoryrequircmrnts? ❑ 1"cs ❑ No* Was the testin rpparatus properl� cnlihratcd" ❑Yes ❑No* For mechanical LLDs,does the LLD restrict product flow if it detects a leak? N/A 0 Yes ❑No* For electronic LLDs, does the turbine automatically shut off ifthe LLD detects a leak? ❑N/A ❑X Yes ❑No* For electronic LLDtu LLDs, does the rbine am Liu shut off if any portion of the monitoring system is disabled or ElN/A disconnected? q❑Yes ❑No* For electronic LLDs, does the turbine autoniatically shut off ifany portion of the monitoring system malfunctions or ❑X N/A tai is a test? ❑Yes ❑No* For electronic LLDs,have all accessible w iri ng connections been visually inspected? 0 N/A Z 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 wig be corrected. H. Comments: