COMPLIANCE INFO_2019 - Laserfiche WebLink

Home Browse Search

UNDERGROUND STORAGE TANK MONITORING SYSTEM CERTIFICATION FORM Pae 5 of s XII. LINE LEAK DETECTOR TESTING d Check this box if line leak detectors LLD are NOT Installed. Do not complete this section.) Y N NA This section must be completed if LLDs are installed.Was a leak simulated to verity LLD performance? 11 El 1:1Check all that apply.) Simulated leak rate verified: 3 GPH 0.1 GPH 0.2 GPH Was the testing apparatus properly calibrated? ❑ ❑ ❑ For emergency generator tank systems does the LLD create an audible and visual alami when a leak is detected? ❑ ❑ ❑ For mechanical LLDs,does the LLD restrict the flow through the pipe when a leak is detected? ❑ ❑ ❑ For electronic LLDs,does the turbine automatically shut off when a leak Is detected? ❑ ❑ ❑ For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? ❑ ❑ ❑ For electronic LLDs does the turbine automatically shut off if any portion of the monitor nq system malfunctions or fails a test? ❑ ❑ ❑ For electronic LLDs,have all accessible wiring connections been visually inspected for kinks and breaks? ❑ ❑ ❑ Were all Items on the equipment manufacturer's maintenance checklist completed? ❑ ❑ ❑ Were all LLDs confirmed operational within regulatory requirements? ❑ ❑ ❑ For any answer of"N"above describe in section X111 how and when these Issues were or will be corrected. XIII. COMMENTS XIV. VACUUM /PRESSURE/ HYDROSTATIC MONITORING EQUIPMENT TESTING n Check this box if VPH monitoring Is NOT used. (Do not complete this section.) This section must be completed if VPH monitoring is used to perform leak defection monitoring. System Type(Mark all that apply.) Vacuum Pressure ❑Hydrostatic Sensor Functionality Interstitial Communication Sensor ID Component(s)Monitored by this Sensor Test Test LI—P—ass Fail LLPass Fail PassFail Pass Fail Pass nEg Pass ELFail Pass Fail LLPass LLFafl Pass nEd Q Pass Fail Pass Fail PassFail Pass Q Fail ELPass LLFAI Pass ELE9 Pass ELFail Pass Fail Pass ELFail Pass Fail Elaass ELFajil Pass ElEA ELPass Fail PassFail Pass Fail How was interstitial communication verified? n Simulated leak at far ends of the interstitial space. [--I Visual Inspection n Other(Describe the method in section XV below.l Gau e Was the vacuum or pressure restored to operating levels in all interstitial spaces? Yes ❑No(Describe lite reason in section XV below, For any answer of"FAIL"above describe in section XV how and when these issues were or will be corrected. XV. COMMENTS