Laserfiche WebLink
Motoring System Certification is <br /> Site Address: 1250 N. WILSON WAY Date of Testing/Service: 04/19/2006 <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 perforin leak detection monitoring. <br /> Complete the following checklist: <br /> my" ❑No' Has all input wiring been inspected for proper entry and termination,including testing for ground faults? <br /> QYes ❑NO' Were all tank gauging probes visually inspected for damage and residue buildup? <br /> x❑yes ❑No• Was accuracy of system product level readings tested? <br /> ❑x ye$ ❑No• Was accuracy of system water level readings tested? <br /> My" ❑No• Were all probes reinstalled property? <br /> QYes ❑No` 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 /> 0 Yes E]No• N/A (Check all that apply)Simulated leak rate: Q 3 g.p.h❑0.1 g.p.h ❑0.2 g.p.h <br /> my- ❑No• Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> my- ❑No' Was the testing apparatus property calibrated? <br /> x❑Yes ONO• ❑N/A For mechanical LLDs,does the LLD restrict product flow if lt detects a leak? <br /> ❑Yes ❑No' ®MA For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> ❑Yes ❑No• ❑x wA For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? <br /> ❑y. [-]NO• ❑x N/A For electronic LLD$,does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? <br /> ❑Yes ONO'` Q N/A For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> ❑yes ❑No' 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 Based on CA form dated 03/01 <br />