COMPLIANCE INFO_2019 - Laserfiche WebLink

Home Browse Search

UNDERGROUND STORAGE TANK MONITORING SYSTEM CERTIFICATION FORM (Page 5 of 6) XIII . LINE LEAK DETECTOR TESTING ❑ 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 verify LLD performance? ❑ ❑ ❑ Check all that applyj apply. Simulated leak rate verified : N 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 alarm when a leak is detected ? ❑ ❑ N For mechanical LLDs , does the LLD restrict the flow through the pipe when a leak is detected? N ❑ ❑ For electronic LLDs , does the turbine automatically shut off when a leak is detected? N ❑ ❑ For electronic LLDs , does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected ? N ❑ ❑ For electronic LLDs , does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? N ❑ ❑ For electronic LLDs , have all accessible wiring connections been visually inspected for kinks and breaks? N ❑ D Were all items on the equipment manufacturer's maintenance checklist completed ? ® ❑ ❑ Were all LLDs confirmed operational within regulatory requirements? ® ❑ ❑ For any answer of "M' above, describe in section X111 how and when these issues were or will be corrected. XIV. COMMENTS This station has three Veeder- Root electronic leak detectors for the 87A , 87B , and 91 tanks . This station has one FePetro mechanical leak detector for the aboveground additive tank . XV. VACUUM / PRESSURE/ HYDROSTATIC MONITORING EQUIPMENT TESTING ❑ 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 detection monitoring. System Type (Mark all that apply. ) ® Vacuum ❑ Pressure N Hydrostatic Sensor Functionality Interstitial Communication Sensor ID Component(s) Monitored by this Sensor Test Test S09 87A PRODUCT LINE ® Pass ❑ Fail ® Pass El Fail S10 87A VAPOR LINE N Pass ❑ Fail N Pass ❑ Fail S11 87A VENT LINE ® Pass ❑ Fail N Pass El Fail F S12 87B PRODUCT LINE ® Pass El Fail ® Pass El Fail I S13 876 SYPHON LINE N Pass El Fail N Pass El Fail S14 87 VENT LINE ® Pass El Fail ® Pass El Fail S16 ATM P SENSOR N Pass LlFail N Pass ElFail S17 91 PRODUCT LINE ® Pass El Fail ® Pass El Fail S18 91 VENT LINE N Pass ElFail N Pass ElFail S23 ADDITIVE PRODUCT LINE N Pass ❑ Fail N Pass ❑ Fail S24 ADDITIVE VENT N Pass ❑ Fail N Pass ElFail L1 87A TANK ANNULAR BRINE N Pass El Fail N Pass El Fail L2 87B TANK ANNULAR BRINE N Pass El Fail N Pass ❑ Fail L3 91 TANK ANNULAR BRINE N Pass El Fail N Pass ❑ Fail L4 91 TANK ANNULAR BRINE N Pass El Fail N Pass El Fail E' L5 87A TURBINE SUMP BRINE N Pass ElFail N Pass 1771Fail L6 87A FILL SUMP BRINE N Pass El Fail N Pass El Fail L7 87B TURBINE SUMP BRINE N Pass El Fail N Pass El Fail L8 UNLEADED VENT BOX SENSOR BRINE N Pass Ll Fail N Pass ❑ Fail E'+ L9 87B FILL SUMP BRINE N Pass E3 Fall ® Pass ❑ Fail ii L10 91 TURBINE SUMP BRINE N Pass ❑ Fail N Pass ❑ Fail L11 91 FILL SUMP BRINE N Pass ❑ Fail N Pass ❑ Fail L12 UNLEADED VENT BOX BRINE N Pass ❑ Fail ® Pass ❑ Fail L13 ADDITIVE STP SENSOR N Pass ❑ Fail N Pass ❑ Fail L14 ADDITIVES P SENSOR BRINE N Pass ❑ Fail N Pass ❑ Fail L15 ADDITIVE VENT BOX SENSOR BRINE N Pass ❑ Fail N Pass ❑ Fail L16 ADDITIVE VENT BOX BRINE N Pass El Fail N Pass El Fail L21 L22 DISP 1 &2 BRINE DISP 3 &4 BRINE N Pass ❑ Fail N Pass ❑ Fail L23 L24 I DISP 5&6 BRINE DISP 7&8 BRINE N Pass ❑ Fail N Pass ❑ Fail 125t L26 I DISP 9& 10 BRINE DISP 11 & 12 BRINE N Pass ❑ Fail ® Pass ❑ Fail L27 L28 I DISP 13 & 14 BRINE DISP 15& 16 BRINE N Pass ❑ Fail N Pass ❑ Fail How was interstitial communication verified? N Simulated leak at far ends of the interstitial space . N Visual Inspection ❑ Other (Describe the method in section XV below.) ❑ Gauge Was the vacuum or pressure restored to operating levels in all interstitial spaces? N Yes ❑ No (Describe the 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. XVI . COMMENTS [;PH = rW1nnc nPr hnt it Y = YPs. N = Nn. NA = Nnf nnnlirah1P_ VPH = Varj n imlPrP.cci irPJHvrfrrtcfntir•_ In = IdonfiflPMinn