COMPLIANCE INFO_1984-2002 - Laserfiche WebLink

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• i •Monitoring System Certification .�.is i� Site Address: Je�6 l'J11� a N �� Date ofTesting/Servicing- F. In--Tank Gauging/SIR Equipment: eck 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 M-tank gauging equipment is used to perform leak detection monitoring. Complete the following checklist: V ❑ No•. Has all input .. been inspected for proper entry and ion.including testing for gtrnmd faults? ❑ No* W�all tank gang pmt visually for damage and residue buildup?❑ No's Was accu aiy ofsystem product level tested? ❑ No* Was accuracy of system water level readings tested? rg:VCS ❑ No* Were all pmbes.reinstalled properly? . ex ❑ No* Were all items on the equipment roam if rturees mainteriaaa checklist completed? • In the Section H,below,describe howand 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: r. —.s ❑ No* For equipment start-up or annual equipment certification,was a leak'smrulated to verify LLD performance? -❑. N/A (Check dl apply) Simulated Ieak rate: h; ❑0.1 g_pli. • ❑02 g.phZ Notes: L Required for equipment start-up certification and annual certification. .. •2-Unless mandated by local agency,cmificationyequired only for electronic LLD start-up.. a-Yes' ❑ No*• Were all UDs confirmed operational and withinx*flatory requirements? ErTes U No* .Was the testing apparatus prop�y calibrated? - Aaryes ❑ No* For mechanical LLDs,does the LLD restrict product flow if it detects a leak?• ❑ NIA •[Ye ❑ No* -Forekctronic LLDs,does the turbine auto shut off if the LLD detects a leak? A a Na* For el LLDs,does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? ° ❑'No*' For electronic LLDs, does the.turbine automatically shut off if any.•portion of•the-monitoring. system f�•�/A malfunctions or fails a test? ❑ No' For electronic LLDs,have all accessble wiring connections been visually' ed? ❑ No* -Were all items.on the equipment man s maintenance checklist completed? *In the Section H,below,describe how and when these deficiencies were or will bevorrected. IL Comments: