Laserfiche WebLink
MAY-07-2008 12:37 Service Station Systems 408 938 8888 P.06 <br /> Monitoring System Certification- of 3 <br /> Site Address: 6425 N. Pacific Ave.@ Central Ct. Date of Testing/Servicing: 4/9/08 <br /> F. In-Tank Gauging/SIR Equipment: tE Check this box if tank gauging is used only for inventory control. <br /> a 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 perform leak detection monitoring. <br /> Complete the following checklist: <br /> 0 Yes O No* Has all input wiring been inspected for proper entry and termination, Including testing for ground faults? <br /> 0 Yes 0 No* Were all tank gauging probes visually inspected for damage and residue buildup? <br /> 0 Yes 0 No* Was accuracy of system product level readings tested? <br /> 0 Yes 0 NO Was accuracy of system water level readings tested? <br /> 0 Yes 0 No* Were all probes reinstalled properly? <br /> 0 Yes 0 No* 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): 0 Check this box if LLD's are not installed. <br /> Complete the following checklist: <br /> M Yes 0 No* For equipment start-up or annual equipment cer[iScation was a leak simulated to verify LLD performance? <br /> 0 N/A (Check all that apply) Simulated leak reate:111 3 g.p.h. (1.); 0 0.1 g.p.h. (2.); C 0.2 g.p.h.(2). <br /> Notes: I. 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 /> Cl Yes 0 No* Were all LLD's confirmed operational and accurate within regulatory requirements? <br /> CK Yes 0 No* Was the testing apparatus properly calibrated? <br /> 13 Yes 0 No* For mechanical LLD's, docs the LLD restrict product flow if it detects a leak'? <br /> 0 N/A <br /> •Yes 0 No* For electronic LLD's, does the turbine automatically shut off if the LLD detects a leak? <br /> 0 N/A <br /> •Yes 0 No* For,electronic LLD's, does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> 0 N/A or disconnected? <br /> •Yes 0 No* For electronic LLD's, does the turbine automatically shut off if any portion of the monitoring system <br /> 0 N/A malfunctions or fails a test? <br /> tF Yes 0 No* For electronic LLD's,have all accessible wiring connections been visually inspected? <br /> 0 N/A <br /> r Yes 0 No* I 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 />