Laserfiche WebLink
onitoring System Certification • <br /> Site Address: 470 N MAIN ST Date of Testing/Service: 12/19/2001 <br /> F. In-Tank Gauging / SIR Equipment Check this box if tank gauging is used only for inventory control. <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 ❑No* Has all input wiring been inspected for proper entry and termination,including testing for ground faults? <br /> ❑Yes F-1140* Were all tank gauging probes visually inspected for damage and residue buildup? <br /> ❑Yes ❑No* Was accuracy of system product level readings tested? <br /> Oyes []No* Was accuracy of system water level readings tested? <br /> Yes LIN.* Were all probes reinstalled properly? <br /> ❑Yes I ❑No-1 Were all items on the equipment manufacturers'maintenance checklist completed? <br /> In the Section H,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 /> For equipment start-up or annual equipment certification,was a leak simulated to verify LLD performance? <br /> E Yes ❑No* ❑N/A (Check all that apply)Simulated leak rate: x❑ 3 g.p.h ❑0.1 g.p.h ❑0.2 g.p.h <br /> X Yes ❑N.- Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> ❑x Yes ❑No* Was the testing apparatus properly calibrated? <br /> X❑Yes ❑No* ❑N/A For mechanical LLDs,does the LLD restrict product Flow if it detects a leak? <br /> ❑Yes [IN.* E N/A For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> N/A For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? <br /> ❑Yes ❑No* <br /> ❑Yes ❑No* ❑X N/A For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? <br /> Fives ❑No* X❑N/A For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> ❑Yes I❑No*I I Were all items on the equipment manufacturers 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 <br />