COMPLIANCE INFO 2010 - 2012 - Laserfiche WebLink

Home Browse Search

Monitoring System Certification-Page 3 of 3 Site Address: � Date of Testing/Servicing: /,__A F. In-Tank Gauging L SIR Equipment: 0 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 tollo ing checklist: 0 Yes ❑No* Has all input wiring been inspected for proper entry and termination,including testing for ground faults? 0 Yes ❑No* 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 0 No* I Were all probes reinstalled properly? ❑Yes ❑No* I Were all items on the equipment manufacturer's 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 LLD's are not installed. Complete the folio ' checklist: A,Yes ❑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 reate:R.3 g.p h.(1.); ❑ 0.1 g.p.h.(2.); ❑ 0.2 g.p.h. (2.). Notes: 1. Required for equipment start-up certification and annual certification. 2. Unless mandated by local agency,certification required only for electronic LLD start-up. Yes ❑No* Were all LLD's confirmed operational and accurate within regulatory requirements? #Yes ❑No* Was the testing apparatus properly calibrated? ar-Yes ❑No* For mechanical LLD's,does the L.LD restrict product flow if it detects a leak? ❑N/A ❑Yes ❑No* For electronic LLD's,does the turbine automatically shut off if the LLD detects a leak? 4W/A ❑Yes ❑No* For electronic LLD's,does the turbine automatically shut off if any portion of the monitoring system is disabled 4N/A or disconnected? ❑Yes ❑No* For electronic LLD's,does the turbine automatically shut off if any portion of the monitoring system Q�N/A malfunctions or fails a test? 0 Yes 0 No* For electronic LLD's,have all accessible wiring connections been visually inspected? A44/A &Yes 0 No* Were all items on the a 'pment manufacturer's maintenance checklist completed? *In Section H below,describe how and when these deficiencies were or will be corrected. H. Comments: � k b Ir,—azA (41 /