Laserfiche WebLink
Mooikering System Certification <br />Site Address: Date of Testing/Servicing: <br />F. In -Tank Gauging / SIR Equipment: heck 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. t - <br />` %-MIRPIUM IIID IVILV11--r, <br />13 Yes ❑ No* <br />�••��•�••�•• <br />Has all input wiring been inspected for proper entry and termination, including testing for ground faults?', <br />LI Yes <br />❑ <br />No* <br />Were all tank gauging probes visually inspected for damage and residue buildup? <br />❑ Yes <br />❑ <br />No* <br />Was accuracy of system product level readings tested? <br />❑ 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 />❑ Yes 1 <br />❑ <br />No* <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />* In the Section H, below, describe how and when these deficiencies were or will be corrected. <br />G. Line Leak Detectors (LLD): ❑ Check this box if LLDs are not installed. <br />Co ete the following checklist: <br />Yes <br />E3 No* <br />For equipment start-up or annual equipment c ification, was a leak simulated to verify LLD performance -1, <br />❑ N/A <br />(Check all that apply) Simulated leak rate: 3 g.p.h.; ❑ 0.1 g.p.h ; ❑ 0.2 g.p.h. <br />Were all LLDs confirmed operational and accurate within regulatory requirements? <br />s <br />❑ No* <br />Yes <br />❑ No* <br />Was the testing apparatus properly calibrated? <br />Yes <br />❑ No* <br />For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br />U NIA, <br />❑Yes'. <br />❑ o* <br />For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br />N/A <br />❑ Yes❑ <br />* <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disableds <br />N/A <br />or disconnected? <br />❑ Yes <br />t3 N6* <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring. system <br />N/A <br />malfunctions or fails a test? <br />❑ Yes <br />❑ o* <br />For electronic LLDs, have all accessible wiring connections been visually inspected? <br />N/A <br />Yes. <br />❑ No*- <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />In the Section H, below, uescrioe now anu when ulebe UCIIGICIIGICJ VVc• c v■ TV... •+� ��• • -• <br />H. Comments:• <br />