COMPLIANCE INFO_2019 - Laserfiche WebLink

Home Browse Search

UNDERGROUND STORAGE TANK MONITORING SYSTEM CERTIFICATION FORM ( Page' 5 of 6) XVI. 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? r r r Check all that apply. Simulated leak rate verified : r 3 GPH r 1 . 1 GPH r 0 . 2 GPH Was the testing apparatus properly calibrated ? r r r For emergency generator tank systems , does the LLD create an audible and visual alarm when a leak is detected? r r ry For mechanical LLDs , does the LLD restrict the flow through the pipe when a leak is detected? r r For electronic LLDs , does the turbine automatically shut off when a leak is detected ? r r r For electronic LLDs , does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected ? r r r For electronic LLDs , does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? r r r For electronic LLDs , have all accessible wiring connections been visually inspected for kinks and breaks? r r r Were all items on the equipment manufacturer's maintenance checklist completed ? r r r Were all LLDs confirmed operational within regulatory requirements? r r r For any answer of "N " above, describe in section Xlll how and when these issues were or will be corrected. XIII; COMMENTS XIV VACUUM / PRESSURE/ HYDROSTATIC MONITORING EQUIPMENT TESTING r 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. ) r Vacuum r Pressure r Hydrostatic Sensor lD Component(s) Monitored by this Sensor Sensor Functionality Interstitial Communication Test Test r Pass r Fail r Pass r Fail r Pass r Fail r Pass r Fail r Pass r Fail r Pass r Fail r Pass r Fail r Pass r Fail r Pass r Fail r Pass r Fail r Pass r Fail r Pass r Fail r Pass r Fail r Pass r Fail r Pass r Fail r Pass r Fail r Pass r Fail r Pass r Fail r Pass r Fail r Pass r Fail r Pass r Fail r Pass r Fail r Pass r Fail r Pass r Fail How was interstitial communication verified ? r Simulated leak at far ends of the interstitial space . r Visual Inspection r Other Describe the method in section XV below. r Gauge Was the vacuum or pressure restored to operating levels in all interstitial spaces? r Yes r No (Describe the reason in section XV below.) For any answer of "N " above, describe in section Xlll how and when these issues were or will be corrected. XV COMMENTS GPH = Gallons per hour, Y = Yes , N = No , NA = Not applicable, VPH = Vacuum/Pressure/ Hydrostatic , ID = Identification