Laserfiche WebLink
Monitoring System Certification <br /> Site Address: U r-''('e ti't - 1 (,t a,yyf, �(.�� "AR) <br /> Date of Testing/Servicing: <br /> F. In-Tank Gauging/SIR Equipment: <br /> Ll Check this box if tank <br /> 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 /> Y s ❑ No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br /> Y ❑ No* Were all tank gauging probes visually inspected for damage and residue buildup? <br /> Y s ❑ No* Was accuracy of system product level readings tested'1 <br /> Y s ❑ No* Was accuracy of system water level readings tested'? <br /> Yes ❑ No* I Were all probes reinstalled properly? <br /> ❑ Yes ❑ No* Were all items on the equipment manufacturer's 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 /> U—'es ❑ No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br /> LJ N/A (Check all that apply) Simulated leak rate: <br /> �g.p.h.; ❑ 0.1 g.p.h ; ❑0.2 g.p.h. <br /> Ur"Yes ❑ No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> ❑ Ye ❑ No* Was the testing apparatus properly calibrated? <br /> Yes ❑ No* For mechanical LLDs,does the l,l_D restrict product flow if it detects a leak? <br /> ❑ N/A <br /> ❑ Yes O�o* For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br /> l� N/A <br /> ❑ Yes * For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> N/A or disconnected? <br /> ❑ Yes ❑ Nom* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system <br /> C� N/A malfunctions or fails a test? <br /> ❑ Yes ❑ No* For electronic LLDs, have all accessible wiring connections been visually inspected? <br /> U N/A <br /> Yes ❑ No* Were all items on the equipment manufacturer's 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 05/00 <br />