COMPLIANCE INFO_2002-2009 - Laserfiche WebLink

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Site,Address: to of Testing/Servicing: F. In-Tank Gauging/SIR U Equipment: Check this box if tank g 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: ❑ Yes ❑ No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults? ❑ 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 ❑ NO Were all probes reinstalled properly? ❑ 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 will be corrected. G. Line Leak Detectors (LLD): ❑ Check this box if LLDs are not installed. Complete the following checklist: I 1*J"Yes ❑ No* For equipment start-up or annual equipment ce0fication, was a leak simulated to verify LLD performance? E3 N/A (Check all that apply) Simulated leak rate: g.p.h.; ❑ 0.1 g.p.h ; GI 0.2 g.p.h. 13 Yes ❑ No* Were all LLDs confirmed operational and accurate within regulatory requirements? Y ❑ No* Was the testing apparatus properly calibrated? Ef"Yes ❑ No* For mechanical LLDs,does the LLD restrict product flow if it detects a leak? ❑ N/A ❑ Yes ❑ No* For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? ❑ Yes ❑ Ngz For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled U"N/A or disconnected? ❑ Yes ❑ o* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system /A malfunctions or fails a test? ❑ Yes ❑�,,No* For electronic LLDs, have all accessible wiring connections been visually inspected? ❑ N/A Yes LU No* I Were all items on the equipment manufacturer's maintenance checklist completed? * In the Section H, below,describe how and when these deficiencies were or will be corrected. H. Comments: