Laserfiche WebLink
Moo0cring System Certification <br />0 <br />1, Site Address: -b 37 S jj rjt,, Date of Testing/Servicing: / 1 <br />F. In -Tank Gauging / SIR Equipment: W, Check this box if tank gauging is used only for inventorycontrol. <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 monitoring. <br />Complete the following checklist: <br />❑ Yes <br />❑ No* <br />Has all input wiring been inspected for proper entry and termination, including testing <br />❑ Yes <br />❑ No* <br />Were all tank gauging probes visually inspected for damage and residue buildup? <br />❑ Yes <br />❑ No* <br />Was accuracy of system product level readings tested? <br />❑ Yes <br />' ❑ No* <br />Was accuracy of system water level readested? <br />ings t <br />❑ Yes <br />13 'No* <br />Were all probes reinstalled properly? <br />L03Yes <br />❑ No* <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />* In the <br />Section H, <br />below, describe how and when these deficiencies were or will be corrected. <br />G. 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 <br />❑ N/A (Check all that apply) Simulated leak rate: X3 g.p.h.; ❑ 0.1 g.p.h ; ❑ 0.2 g.p.h. <br />Yes <br />I ❑ No* <br />I Were all LLDs confirmed operational and accurate within regulatory requirements? <br />/164 Yes <br />1 ❑ No* <br />I Was the testing apparatus properly calibrated? <br />Yes <br />❑ No* <br />❑ N/A <br />For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br />❑ Yes <br />❑ No* <br />N/A <br />For electronic LLDs, does the turbine automatically shut off if the LLD detects a le <br />- <br />❑ Yes <br />El No* <br />N/A <br />For electronic LLDs, does the turbine automatically shut off if any portion of the m <br />or disconnected? <br />❑ Yes <br />❑ No* <br />N/A <br />For electronic LLDs, does the turbine automatically shut off if any portion <br />malfunctions or fails a test? <br />Y❑ <br />;Yje <br />No* <br />N/A <br />For electronic LLDs, have all accessible wiring connections been visually inspected? <br />❑ No* <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />+ In the Section H, below, describe how and when these deficiencies were or will be corrected. <br />3. Comments: <br />to verify LLD performance? <br />Y: <br />ak? <br />onitoring system is disabled: <br />of the monitoring system <br />