Laserfiche WebLink
nitoring System Certification <br /> Site Address: 3355 E. HAMMER LANE Date of Testing/Service: 06/27/2001 <br /> F. In-Tank Gauging /SIR Equipment ❑ Check 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 preform leak detection monitoring <br /> Complete the following checklist: <br /> ® Yes F-1 No• Has all input wiring been inspected for proper entry and termination,including testing for ground faults? <br /> ® Yes ❑No Were all tank gauging probes visually inspected for damage and residue buildup? <br /> ® Yes F_jNo` Was the accuracy of system product level readings tested? <br /> ®Yes ❑No• Was accuracy of system water level readings tested? <br /> ® Yes F_�No, Were all probes reinstalled properly? <br /> ® Yes ❑No> Were all items on the equipment manufacturer's maintenance checklist completed? <br /> G. Line Leak Detectors (LLD) : Check this box if no tank gauging or SIR equipment is installed. <br /> Complete the following checklist: <br /> For equipment start-up or annual equipment certification,was a leak simulated to verify performance? <br /> ® Yes [:]No N/A (Check all that apply)Simulated leak rate:®3 g.p.h Q 0.1 g.p.h ❑0.2 g.p.h <br /> ® Yes F]No' Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> © Yes ❑No' Was the testing apparatus properly calibrated? <br /> ®Yes ❑No. ® N/A For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> ❑Yes No' F� N/A For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> ©Yes No' E] N/A For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? <br /> Yes No' Ej N/A For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test. <br /> ®Yes ❑No' ❑ N/A or electronic LLDs, have all accessible wiring connections been visually inspected? <br /> ®Yes []No' Were all items on the equipment manufacturers maintenance checklist completed? <br /> 'In the Section H,below,describe how and when these deficiencies were or will be corrected. <br /> H. Comments: <br /> page 3 of 3 <br />