Laserfiche WebLink
A <br />0' <br />0 <br />,. rte...... G^aeck this box if tank gmgiata is ased oaly for inventerq control. <br />F. n-� ..�wuS�2itg Ganging/ r� uipzneati ❑ Check this box i.: no tack gauging or Slit eaninmeat is'1 a cd - <br />Taroust be completed if in -;auk u& g equipment is used <br />ts secon �o pe. orm teak deter on monitoritt�. <br />let e the followins checklist: for and fouls? <br />* been inspected. for proper entry and termination, incluc3, testing <br />'les 13 No Has all input wiling a ted far damage and residue buildup? <br />Yes ❑ No* i Were all tank gauging probes visuallyP <br />Yes O No* Was accuracy of systemp <br />uct level readings wed? <br />Yes Q No* Was accinac� oz system water level readings tasted? <br />Yes ❑ No* Were all probes reinstalledproperly?. =mart nres mama- ` c checklist c�ple+.ed. <br />Yes <br />* Were ail iteu�s on the equipt = <br />;a ❑ No <br />how and when these defisieucies were or wM be corrected. <br />the <br />Seedon H, <br />below, describe <br />G. sane <br />i,ealiC De#esimA-s (LLD): Check this box if LLDs are not i`nstai ed. <br />Complete the foiloivinQ chec�siist: <br />siari�p or annual equipment c=tification, was a leak simniated to verify LLD performance? <br />J� Yes <br />❑ No* <br />For equipment ^ <br />1S"m ted leak rate: e,Z3 g.p.h.; ❑ 0.1 &P -'a ; CF 0-2 g_p.h.. <br />Cl NIA <br />(Chess all that aPPY) l" <br />yes <br />. Cl No * <br />r r o erational and accurate withiu rrguiatory zequiresneats? <br />Were all ._"�scout�m:ed p <br />yes <br />n NO* <br />Was the testing apparatos properly calibrated? <br />does the L. 13 restrict product Sow if it detects a leak? <br />�,( y <br />❑ No* <br />Far mechanical T "71]s, <br />p yes <br />U VIA <br />❑ No* <br />For electronic LLDs, does the turbine auiomadcaily smut ail if the LLD detects a leak? <br />N/A <br />Q No* <br />shut off if an crtioa of the monitoring system is disabled <br />For elecatonic I.LDs, does the timing auaomaticaily Y P <br />❑ Yes <br />N/A <br />or disconnected? icany shut a$ if any portion of die znonitormg syst�acm lfunct ions <br />For LLD$, does the turbine auto�t <br />C Yes <br />❑ to* <br />e?ectmnic <br />'A" N/A <br />or fails a test? inspected? <br />have wiring connec*aons been visuaIIy <br />yes <br />C3 No* <br />For elecnnnic LLDs, all ac»essbie <br />Yes <br />N/A <br />❑ No* <br />Were all itaems on the equipment manufacttaes''s maintenan c. rhe-.,l:lisi conieted? <br />Tr► the Section H. below, descr be how and wizen these deu'ciencies were or will be corrected. <br />H. Comments: <br />*''d 9010-LL2(699) <br />iron <br />page 3 of 3 <br />MU1S1S3M/NU1S1-1d d 1 E: J0 CO 11 ADW <br />