COMPLIANCE INFO_1999-2008 - Laserfiche WebLink

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Dp9onOCri.ng System Certification ..Site Address: op k c� r � ��^ �4 � f f Date of Testing/Servicing: F. In -Tank Gauging /SIR Equipment:2f Check this box if tank gauging is used only for inventory control. y ❑ Check this box if no tank gauging or SIR equipment is installed. This section must be completed if in -lank gauging equipment is used to perform leak detection monitoring. Complete the following checklist: — - -- — .. I ---- --.- •—j—" — NivNci C;Mly U11U Mrunnuuvn, mcivaing 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? " 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* For equipment start-up or annual equipm ❑ N/A I (Check all that apply) Simulated leak rate: Tbrtification'was a leak simulated to verify LLD performance? 3 g.p.h.; E30.1 g.p.h ; ❑ 0.2 g.p.h. Yes ❑ No* Were all LLDs confirmed operational and accurate within regulatory requirements? :. Yes ❑ No* Was the testing apparatus properly calibrated? Yes ❑ No* For mechanical LLDs, does the LLD restrict product flow if it detects a leak? ❑ N/A ❑ Y!es ❑ No* For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? N/A ❑ Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled N/A or disconnected? ❑ Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system W N/A malfunctions or fails a test? ❑ Yes L4 No* For electronic LLDs, have all accessible wiring connections been visually inspected? rA N/A Qr 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: