Laserfiche WebLink
❑ 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. <br /> Complete the following checklist: dnk <br /> ® Yes ❑ No* Has all input wiring been inspected for proper entry and termination,including testing for ground faul . <br /> ® Yes ❑ No* Were all tank gauging probes visually inspected for damage and residue buildup? <br /> ® Yes ❑ No* Was accuracy of system product level readings tested? <br /> ® Yes ❑ No* Was accuracy of system water level readings tested? <br /> ® Yes ❑ No* Were all probes reinstalled properly? ENVIRONMEN <br /> ® Yes ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? "'°WTH DEPARTMEN <br /> *In Section H,below,describe how and when these deficiencies were or will be corrected. <br /> Line Leak Detectors(LLD): ® Check this box if LLDs are not installed. <br /> Complete the following checklist: <br /> ❑ Yes ❑ No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? (Check all that apply) <br /> ❑ N/A Simulated leak rate: ❑3 g.p.h.; ❑0.1 g.p.h; [10.2 g.p.h. <br /> ❑ Yes ❑ No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> ❑ Yes ❑ No* Was the testing apparatus properly calibrated? <br /> ❑ Yes ❑ No* For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> ❑ N/A <br /> ❑ Yes ❑ No* For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> ❑ N/A <br /> ❑ Yes ❑ No* For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? <br /> ❑ N/A <br /> ❑ Yes ❑ No* 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 /> ❑ Yes ❑ No* For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> ❑ N/A <br /> ❑ Yes ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? <br /> *In Section H,below,describe how and when these deficiencies were or will be corrected. <br /> H. Comments: SUCTION <br /> Monitoring System Certification Page 3 of 4 2/21/07 <br /> Monitoring System Certification <br /> UST Monitoring Site Pian <br />