Laserfiche WebLink
Monitoring System Certification-Pine 3 of 3 <br /> site ,address: 4344 Waterloo Rd <br /> Date of Testin�JScrvicing: l /-74 <br /> E. In-Tank Gauging/SIR Equipment: Chcck this box if tank eauwing is used only for imentor\ control. <br /> ❑ Check this box if no tank`eaugin�e or SIR equipment il.im"tallyd. <br /> This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. <br /> Complete the foliowIing checklist: <br /> FE3 , <br /> ❑ No* I las all input wiring been inspected for proper entry and termination, including,,testing liar_round faults" <br /> ❑ No* Were all tank gauging probes visually inspected for damage and residue.buildup'' <br /> ❑ No* Was accuracy ofsystem product level readings tested".❑ No* Was accuracy of system water level readings tested? <br /> ❑ No* Were all probes reinstalled properly? <br /> ❑ Yes ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed" <br /> in Section N below,describe how and when these deficiencies were or will he corrected. <br /> G. Line Leak Detectors(LLD): ❑ Check this boa if I.1,D's are not installed. <br /> Complete the foliowin checklist: <br /> es ❑ No* For equipment start-tip or annual equipment certification was a leak simulated to verify 1.1.1)perfornuutce? <br /> 13N,`A (Check all that apply) Simulated leak reate:tis g.p.h.(l.); ❑ 0.1 g.p.h.(2.): ❑ 0.2 g.p.li.(2.)• <br /> Notes: 1. Required for equipment start-up certification and animal certification. <br /> 2. Unless mandated by local agency.certification required only for electronic LLD start-up. <br /> Ne Were all LLD's confirmed operational and accurate within ree;ulatory re uiremenh° <br /> R<es ❑ No* Was the testing apparatus properly calibrated'' <br /> 0 Yes 0 No* For mechanical LLD's,does the LLD restrict product flow if it detects a leak? <br /> 9,1,rA <br /> 13Yes n* For electronic LLD's,does the turbine automatically shut off if the 1.11)detects a leak'? <br /> ❑ N/A <br /> es ❑ No* For electronic LLD's, does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> ❑ NIA or disconnected! <br /> cs 0 No* For electronic LLD's. does the turbine automatically shut off if any portion of the monitoring system <br /> ❑ N'A malfunctions or fails a test' <br /> &-YVs 0 No* For electronic L1.D's, have all accessible wiring connections been visually inspected? <br /> ❑ N/A <br /> 111"Ic b No* Were all items on the equipment manufacturer's maintenance checklist completed'? <br /> In Section N below,describe how and when these:deficiencies were or will he corrected. / f <br /> }I. Comments: �IL tLk_G.-®r s�E. 1'tee—S T� a/,e'TtxN"11 <br /> t S <br />