Laserfiche WebLink
APR -2? -2006 0?•09 Service Station Systems 408 938 8888 P.R6 <br />Monitoring System Certification - P; of 3 <br />Site Address: 6425 N. Pacific Ave. @ Central Ct. Date of Testing/Servicing: 4/10/06 <br />F. In • Tank Ganging / SIR Equipment: ® Check this box if tank gauging is aged only for inventory control - <br />0 Check this box if no tank gauging or SIR equipment is installed. <br />This section must be completed if in -tank gauging equipment is used to perforin leak detection monitoring. <br />rmmnlete the fnllnwina checklist: <br />0 Yes <br />1 0 No* <br />Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br />0 Yes <br />0 No* <br />Were all tank gauging probes visually inspected for damage and residue buildup'? <br />p Yes <br />a No* <br />Was accuracy of system product level readings tested? <br />0 Yes <br />O No* <br />Was accuracy of system water level readings tested? <br />❑ Yes <br />0 No* <br />Were all probes reinstalled properly? <br />0 Yes <br />❑ No* <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />" In Section H below, describe how and when these deficiencies were or will be corrected. <br />G. Line Leak Detectors (LLD): ❑ Check this box if LLD's are not installed. <br />f'..mnlnrn tho fnllnwin* oh"oknsN <br />M Yes <br />0 No* <br />For equipment start-up or annual equipment certification was a leak simulated to verify LLD performance? <br />0 N/A <br />(Check all that apply) Simulated leak reate: ® 3 g.p.h. (1.); 0 0.1 g.p.h. (2.); ❑ 0.2 g.p.h. (2.). <br />Notes: 1. Required for equipment start-up certification and annual certification. <br />2. Unless mandated by local agency, certification required only for electronic LLD start-up. <br />in Yes <br />a No* <br />Were all LLD's confirmed operational and accurate within regulatory requirements? <br />0 Yes <br />0 No* <br />Was the testing apparatus properly calibrated? <br />0 Yes <br />0 No* <br />For mechanical LLD's, does the LLD restrict product flow if it detects a leak? <br />®N/A <br />® Yes <br />0 No* <br />For electronic LLD's, does the turbine automatically shut off if the I.LD detects a leak? <br />0 N/A <br />W Yes <br />0 No* <br />For electronic LLD's, does the turbine automatically shut off if any portion of the monitoring system is disabled <br />o N/A <br />or disconnected? <br />a Yes <br />ONO* <br />For electronic LLD's, does the turbine automatically shut off if any portion of the moniUrring system <br />0 N/A <br />malfunctions or fails a test? <br />121 Yes <br />0 No* <br />For electronic LLD's, have all accessible wiring connections been visually inspected? <br />0 N/A <br />m Yes <br />0 No* <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />* In Section H below, describe how and when these deficiencies were or will be corrected. <br />H. Comments: <br />