Laserfiche WebLink
v - �vu. .�. ry iV J`1UGJroJJ r I r Irl rL_UVR t'HUC_ Q-1 <br />® ` P <br />F. In -Tank Gauging I SIR Equipment: Oeek this box if tank gauging is used only for inventory control. <br />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 />Comnlete the follmvinn checklist - <br />0 Yes <br />0 <br />No* <br />Has all input wiring been inspected for proper entry and termination, including testing for ground faults'? <br />0 Yes <br />O <br />No* <br />Were all tank gauging probes visually inspected for damage and residue buildup? <br />❑ Yes <br />0 <br />No* <br />Was accuracy of system product level readings tested? <br />O Yes <br />❑ <br />No* <br />Was accuracy of system water level readings tested? <br />❑ Yes <br />❑ <br />No* <br />Were all probes reinstalled properly? <br />O Yes <br />❑ No* <br />IWere all items on the equipment manufacturer's maintenance checklist completed? <br />* In the Section K, below, describe hose and when these deficiencies were or will be corrected. <br />G. Line Leak Detectors (LLD): heck this box if LLDs are not installed. <br />Comnlete the following checklist: <br />O Yes <br />0 No* <br />For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br />0 N/A <br />(Check all that apply) Simulated leak rate: O 3 g.p.h.; O 0.1 g.p.h; Cl 0.2 g.p.h. <br />0 Yes <br />O No* <br />Were all LLDs confirmed operational and accurate within regulatory requirements? <br />❑ Yes <br />Cl No* <br />Was the testing apparatus properly calibrated? <br />0 Yes <br />0 No* <br />For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br />0 N/A <br />O Yes <br />O No* <br />For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br />0 N/A <br />0 Yes <br />0 No* <br />For electronic LLDs, does the turbine automatically shat off if any portion of the monitoring system is disabled <br />❑ N/A <br />or disconnected? <br />❑ Yes <br />Cl No* <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions <br />C3 N/A <br />or fails a test'? <br />❑ Yes <br />O No* <br />For electronic LLDs, have all accessible wiring connections been visually inspected? <br />❑ N/A <br />0 Yes <br />® No* <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />* In the Section H, below, describe how and rvhen these deficiencies were or will be corrected. <br />H. Comments: <br />Page 3 of 3 03/01 <br />