COMPLIANCE INFO_2002-2009 - Laserfiche WebLink

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Stite Addiless: Iq F. In -Tank Gauging / SIR Equipment: of Testing /Servicing: % /�/ '�' heck this box if tank gauging 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 113 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 maintenance checklist completed? a.e 9 AV OOC6N11 n, ucluw, ucscrl U nuw .IIID wile" InesC UCIICICIICIeS Wel'C of will be corrected. G. Line Leak Detectors (LLD): ❑ Check this box if LLDs are not installed. Complete the following checklist: es ❑ No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? ❑ N/A (Check all that appl)) Simulated leak rate: g.p. .; ❑ 0.1 g.p.h ; ❑ 0.2 g.p.h. es ❑ No* Were all LLDs confirmed operational and accurate within regulatory requirements? s ❑ No* Was the testing apparatus properly calibrated? es ❑ No* For mechanical LLDs, does the LLD restrict product flow if it detects a leak? ❑ N/A ❑ Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? /A ❑ Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled 1.►/A or disconnected? ❑ Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system jA malfunctions or fails a test? ❑ Yes ❑ No* For electronic LLDs, have all accessible wiring connections been visually inspected? ® N/A Yes ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? d•• •••...-+.........•..,I ai...v.T, ucaa l Bvc uvrr nuu IT lull IfICSC Ucllcielll'1es were or will oe correctea. H. Comments: