COMPLIANCE INFO_2008-2018 - Laserfiche WebLink

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F. In -Tank Gauging / SIR Equipment: ® Check this box if tank gauging is used only for inventory control. ElCheck 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 ❑ No Has all input wiring been inspected for proper entry and termination, including testing for rn faults? g ou d a ts? ® Yes ❑ No* Were all tank gauging probes visually inspected for damage and residue buildup? jUN 18 2e ® Yes ❑ No* Was accuracy of system product level readings tested? ® Yes ® Yes ElNo* ElNo* Were all LLDs confirmed operational and accurate within regulatory requirements? Was accuracy of system water level readings tested? 1%01 VIV11— Were all probes reinstalled properly? t iI a1 r J rNCOA074Rem 0 ® Yes 1 ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? - in aecuon n, oeiow, oescrme now ano when mese oenciencies were or winoe correuteu. Line Leak Detectors (LLD): ❑ Check this box if LLDs are not installed. r....,..�see etre 6*11...*.:n.. n6en41i�.e• ® Yes ❑ No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? (Check all that apply) ❑ N/A Simulated leak rate: ® 3 g.p.h.; El0.1 g.p.h; El0.2 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 ElYes [INo* 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 or disconnected? ® N/A ❑ Yes ElNo* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? ® N/A ❑ Yes ❑ No* For electronic LLDs, have all accessible wiring connections been visually inspected? ® N/A ® Yes 171No* Were all items on the equipment manufacturer's maintenance checklist completed? * In Section H, below, describe how and when these deficiencies were or will be corrected. H. Comments: 87 120 4 27 21 PASS 91 130 4 32 22 PASS Monitoring System Certification Page 3 of 4 2/21/07