COMPLIANCE INFO_2002-2009 - Laserfiche WebLink

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1 Site Address: -t?j) t11t r O � a'Ec� of Testing/Servicing: F. In -Tank Gauging/ SIR Equi . ent: heck this box if tank auging is used only for inventory control. ❑ Check this box if no tank gauging or SIR equipment is installed. This section must be completed if in -tank gauging equipment is used to perform leak detection monitoring. Complete the following checklist: ❑ Yes 1 ❑ No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults? ❑ Yes ❑ No* Were all tank gauging probes visually inspected for damage and residue buildup? ❑ Yes ❑ No* Was accuracy of system product level readings tested? ❑ Yes ❑ No* Was accuracy of system water level readings tested? ❑ Yes ❑ No* Were all probes reinstalled properly? ❑ Yes ❑ No* Were all items on the equipment manufacturer's rnninfenance checklist epi» nieterl? * In the Section H, below, describe how and when these deficiencies were or will be corrected. G. Line Leak Detectors (LLD): ❑ Check this box if LLDs are not installed. Complete the following checklist: Yes ❑ No* E3 N/A For equipment start-up or annual equipment cerci (cation, was a leak simulated to verify LLD performance? (Check all that apply) Simulated leak rate: g.p.h.; 130.1 g.p.h ; E30.2 g.p.h. Yes ❑ No* Were all LLDs confirmed operational and accurate within regulatory requirements? Y ❑ No* Was the testing apparatus properly calibrated? Yes ❑ No* ❑ N/A For mechanical LLDs, does the LLD restrict product flow if it detects a leak? ❑ Yes �❑ Ngo* ti"N/A For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? ❑ Yes ❑ No* Gr'l�_iA For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? ❑ Yes ❑ N * N/A For electronic' LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? ❑ Yes �❑ o* l N/A For electronic LLDs, have all accessible wiring connections been visually inspected? Id Yes ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? * In the Section H, below, describe how and when these deficiencies were or will be corrected. H. Comments: