Laserfiche WebLink
11/30/2009 16:31 FAX 2093683234 GEORGE AISHIDA INC 0 006 <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 lection must be completed If in -tank gauging equipment Is used to perform iiak detection monitoring. <br />Complete the following checklist. <br />is <br />Yes <br />❑ <br />No' <br />Has all input wiring been inspected for proper entry alid termination, including testing for ground faults? <br />® <br />to <br />Yea <br />Yes <br />❑ <br />❑ <br />No' <br />No' <br />Were all tank gauging probes visually, inspected fore mage and residue buildup? <br />Was accuracy of system product level readings tested? <br />® <br />Yes <br />❑ <br />No" <br />Was accuracy of system water level readings tested?. <br />® <br />Yes <br />❑ <br />No" <br />Were all probes reinstalled property? <br />Yea <br />❑ <br />No' <br />Were all Items on the equipment manufacturer's main enance checklist completed? <br />n Section H, below, describe how and when these deficiencies were or will be corrected, <br />ne Leak Detectors (LLD): ❑ Check this box I� LLDs are not installed. <br />rmmnluta Mn rnlln..,inn nhn kll,t. <br />0 <br />yes <br />❑ <br />No' <br />For equipment start-up or annual equipment cartiflo'ation, was a leak simulated to verify LLD performance? (Check all that apply) <br />❑ <br />NIA <br />Simulated leak rate! ® 3 g.p.h.; ❑ 0.1 g,p,h ; 0 0.2 g. p. h. <br />® <br />Yes <br />0 <br />No` <br />Were all LLDs Confirmed operational and accurate wl in rogulatory requirements? <br />® <br />Yes <br />❑ <br />No, <br />Was the testing apparatus properly calibrated? _ <br />Yes <br />❑ <br />No* <br />For mechanical LLDs, does the LLD restrict product flaw if it detects a leak? <br />El <br />NIA <br />❑ <br />Yes <br />❑ <br />No, <br />For electronic LLDs, does the turbine automatically shlut oft If the LLD detects a leak? <br />® <br />NIA <br />❑ <br />Yes <br />❑ <br />No, <br />For electronic LLDs, does the turbine automatically sh t off If any portion of the monitoring system is disabled or disconnected? <br />® <br />N/A <br />i <br />❑ <br />Yes <br />❑ <br />No* <br />For electronic LLDs, does the turbine automatically shut off If any portion of the monitoring system malfunctions or fails a test? <br />N/A <br />❑ <br />Yes <br />❑ <br />No"For <br />electronic 4LOs, have all accessible wiring connections been visually Inspected? <br />N/A <br />® <br />Yes <br />f <br />No' <br />Were all Items on the equipment manufacturers maintenance checklist completed? <br />I Section H, below, describe how and when these deficiencies were or will be correcTd, <br />1. Comments, <br />Monitoring System Certification Page 3 of 4 l 2/21/07 <br />