Laserfiche WebLink
W . O . # NW1 - 2337994 <br /> UNDERGROUND STORAGE TANK <br /> MONITORING SYSTEM CERTIFICATION FORM jNgOola <br /> XII . LINE LEAK DETECTOR TESTING __ - <br /> klhts Yte kdetectasll faro rola ( not corrlW�No l'hs a`anat ) -- - _ -' _ " -y - N NA <br /> Thbsxlion mualbetom IetedllLLOuralMallad. _ .. _-------- -- D - ❑ ll <br /> - <br /> Was a lea amrtoled to vW x y ll peri"rrnrce7 �/ g 0 1 C�fN ❑ 0 Y tvH __ _ <br /> ChecA all the ) MuLited leak ralevetiod'. ❑ p ~ p <br /> 5\bs Ne lestmp apparatus pop"'i cabraW7 - — 13 EJ <br /> — <br /> FE <br /> ewplor tank system daeslhoLLD crealeanausblo andv803101u" bona leak :• dete:.tsd7 _ D ❑ ❑ <br /> LLD". does the LLD roshicl Ute Ibw trough d10 ppe w hen a leak k detects" 7 <br /> ❑ n <br /> LDs, doea the turbine aut"mtcaN shuldlwbonabak is delecled7 s slemr daabkd w dacotaaec tad? ❑ ❑ p <br /> LDN. does the turbine mrlonsl ahul oil 1 any Dation d 010 rmnaorn0 y <br /> LDs, does the twbill automatcaNahui dl Y any porton d 1110 "DoW nG ayslemmWuncmns " lasso testi � _ ❑ G { <br /> F" elecbonlc LLDa. haveoleccasNawiigco eUuns beenvsuoN' iupec led la Ai+ks and txoalu? <br /> ❑ ❑ D <br /> Wereal Rena onth equOnent msndxlurer'a rtwhta•snce checlksl conploled7 _ _ . -- ❑ n ❑ <br /> WereN LLD& eonirmedoperatonatw RhnroptiatotYrequier Ms? -- <br /> ran anaw*r o! 'N' abov doxrlbe lnstttionXlllhowandwhanlhowimesasraoralH <br /> DobacomcW. --- <br /> XIII. COMMENTS <br /> XIV. VACUUM I PRESSURE/ HYDROSTATIC MONITORING EQUIPMENT TESTING <br /> Check this box t VPH rmn3"hq is NOT used. (DonOl c0n+p/elaltus Becton ) <br /> This section must be completedi! VPH moritorim is used to parlor- ImAdetection moritalnR__ <br /> SyslemType (kark al that appy.) D Vacwm D Resswe ❑ M'dra~tobc Sero" Funcbonalay Mrtsttw Coma ar I <br /> Serfs" D Conponont(s) LtMored by this Sens" Teat Test III <br /> D Pass D Fat D Pass D Fal <br /> ❑ Pass D Fal ❑ Fuss ❑ Fat j <br /> D Pass ❑ Fat ❑ Pass D Fal j <br /> ❑ P.tss D Fat D Fav ❑ f0i <br /> D Pass ❑ Fat D Pass ❑ Fal <br /> ❑ Pass ❑ Fat D Foss D Fat <br /> D Pbss ❑ Fat D pass D Fal <br /> D Faso D Fat O Rus at <br /> ❑ Fbss D Fat D Paan ❑ Fal <br /> D Pass D Fat ❑ pass D Fal <br /> D Pass D Fat ❑ Pass D Fat <br /> D Pass D Fat ❑ Fuss D Fat <br /> ❑ Smyated leak al <br /> at ends al the ntetsUtnl space. ❑ Vtstrathspetbon <br /> How was MerstjWccrrrruncatunverdied7 (3 oq,& (Oescrbelhon U)0dlnsec6w Xvbelow ) 0C,Lw <br /> Was the vacwmor press "eresl"ed to operafrq kveisnal nlusdttsl spaces? ❑ Yes DW (DescrbetM reasonins.�.�ott1' ha!owT <br /> oranyanswer of "F IL" above des<rlbe nsectl0n XVawanCOMeMIENTSssues xereorwi becorrecp — <br /> I <br /> GPH = csions per hota.Y=Yes,N= No, PA Wpbd*, VFl1= VOnrunl'resstreRirdrostabG D= klsMi�"& <br /> JAN 2019 <br />