COMPLIANCE INFO_2013-2015 - Laserfiche WebLink

Home Browse Search

ro Ma r. 27, 2013 8:33AM No. 6553 P. 6 I. Results of Vacuum/Pressure Monitoring Equipment Testing This page should be-used to document testing and servicing of vacuum and pressure interstitial sensors.A copy of this form must be included with the Monitoring System Certification Form, which must be provided to the tank system owner/operator. The owner/operator must submit a copy of the Monitoring System Certification Form to the local agency regulating UST systems within 30 days of test date, VEEDER-ROOT TLS-350 Model: 332117-001 system Type:o pressure;m vacuum LL S-9 Cornponent(s)Monitored by this Sensor, S-9 UNLEADED 87(A)PRODUCT LINE. Sensor Functionality Test Result:ZI Pass; 0 Fail Interstitial Communication Test Result: Pass; ❑ Fail 8-10 Component($)Monitored by this Sensor; 8-10 UNLEADED 87(A)VAPOR LINE. Sensor Functionality Test Result:®Pass, E] Fail Interstitial Communication Test Result: Pass; ❑ Fail 8-11 Component(s)Monitored by this Sensor: S-I I UNLEADED 97(A)VENT LM. Sensor Functionality Test Result:9fl Pass; El Fall Interstitial Communication Test Result: Pass; ❑ Fail S-12 Component(s)Monitored by this Sensor: 8.12 UNLEADED 87(B)PRODUCT LINE. Sensor Functionality Test Result:N Pass; El Fail Interstitial Communication Test Result: Pass; ❑ Fail S-13 Component(s)Monitored by this Sensor: S-13 UNLEADED 87(8)SIPN. Sensor Functionality Test Result:go Pass, 0 Fall Interstitial Communication Test Result: Pass; ❑ Fail S-17 Component(s)Monitored by this Sensor: S-17 PREMIUM PRODUCT LINE. Sensor Functionality Test Result:91 Pass; [I Pail Interstitial Communication Test Result: Pass; ❑ Fail B-18 Component(s)Monitored by this Sensor: S-18 PREMIUM VENT LINE Sensor Functionality Teat Result:IM Pass, D Pail Interstitial Communication Test Result: Pass; ❑ Fail 5-23 Component(s)Monitored by this Sensor, S-23 ADDETIVE LINE Sensor Functionality Test Result:29 Pass; [I Fail Interstitial Communication Test Result: Pass; ❑ Fail S-24 Component(s)Monitored by this Sensor; S-24 ADDETIVE ENT Sensor Functionality Test Result;M]Pass; E] Fail Interstitial Communication Test Result,IM Pass; E] Fall 8-14 Component(s)Monitored by this Sensor: S-14 87(B)VENTLM Sensor Functionality Test Result:IM Pass; n Fail Interstitial Communication Test Result:NPass; El Fail How was interstitial communication verified? Leak Introduced at Far End of Interstitial Space;' El Gauge, 0 Visual Inspection; El Other(Describe in See.J below) Was vacuum/pressure restored to operating levels in A interstitial spaces? ID Yes [3 No(Ifw,describe in See,J,below) J. Comment$(500 characters max.use additional sheets it needed): If the sensor successfully detects a simulated vacuum/pressure leak introduced in the interstitial space at the furthest point from the sensor,vacuum/pressure has been demonstrated to be Communicating throughout the interstice. Pnge 4 of_