Laserfiche WebLink
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 section must be completed if in-tank gauging equipment is used to perform leak detection monilonng. _ <br /> Complete the following checklist: <br /> y t <br /> ❑ Yes ❑ No' Has all input wiring been inspected for proper entry and termination,including testing for ground faults? <br /> ❑ Yes ❑ No' Were all tank gauging probes visually inspected for damage and residue buildup? OEC9 <br /> ❑ Yes ❑ No' Was accuracy of system product level readings tested? <br /> n <br /> qT <br /> ❑ Yes ❑ No' Was accuracy of system water level readings testedl ' I _ - <br /> ❑ Yes El No* Were all probes reinstalled property? I�r Ar W <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 /> Line Leak Detectors(LLD): ❑ Check this box if LLDS are not installed. <br /> Complete t efollowinq checklist: <br /> ® Yes ❑ No' For equipment start-up or annual equipment certdication, 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 ❑0.2 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 rf 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 <br /> ❑ No' For electronic LLDs,does the turbine automatically shut off 0 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 9 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' Wereall 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: LEAK DETECTOR <br /> 550 6 2718 PASS <br /> Monitoring System Certification Page 3 of 4 2/21/07 <br />