Laserfiche WebLink
Site Address: Date of Testing/Servicing: <br /> F. In-Tank Gauging/SIR Equipment: ❑ Check this box if tank gauging is used only far inventory control. <br /> ❑ Check this box if no tank garaging or SIR equipment is installed. <br /> This section must be completed if in tank gauging equipment is used to perform leak detection monitoring. <br /> Co tete the ing checklist. <br /> wiring been inspected for proper entry and termination,including ging for ground faults? <br /> es ❑ No* Were all tank gauging probes visually'inspected for damage and residue buildup? <br /> fff Yes ❑ No* Was accuracy of system product level readings tested? <br /> es ❑ No* Was accuracy of system water level readings tested? <br /> Yes ❑ No* IWere all probes reinstalled properly? <br /> Yes p Na* Were all items on the equipment manufacturer's maintenance checklist completed? <br /> In the Section H,below,describe how and when these deficiea ' ere or will be corrected. <br /> G. Line Leak Detectors (LLD): Check this box if LLDs are not installed. <br /> Co ete the foltowiaa cher <br /> Yes ❑ No* For equipment start-up or annual equipment ' cation, was a leak simulated to verify LLD performance? <br /> 0 NIA (Check all that apply) Simulated leak rate: 3 g.p.h1; ❑U.1 g.p.h.2; ❑0.2 g.p.h.z <br /> Notes: 1. Required for equipment start-yap certification atad annual certification. <br /> 2. Unless mandated by local agency,certification required only for electronic LLD start-up. <br /> ❑ No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> ❑ 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 © * For electronic LLDs,does the turbine automatically shut off'if the LLD detects a leak? <br /> N/A <br /> 0 Yes ❑ * For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> /A or disconnected? <br /> Yes o* For electronic LLD , does the turbine automatically shut off if any portion of the monitoring system <br /> N/A malfunctions or fans a test? <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 the Section H,below,describe how and when these deficiencies were or will be corrected. <br /> H. Comments: <br /> Page 3 of 3 03/01 <br />