COMPLIANCE INFO_2001-2008 - Laserfiche WebLink

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• Monitoring System Certification Site Address: F. In --Tank Gauging / SIR Equipment: • d c-��` �,� . Date of Testing/Servicing: . / � �� heck this box if tank gauging is used only for inventory control. ❑ Check this box if no tank gauging or SIR equipment is installed. This section must be completed if in -tank gauging equipment is used to perform leak detection monitoring. Complet ❑ Yes ❑ Yes ❑ Yes ❑ Yes ' ❑ Yes ❑ Yes e the following ❑ No* cnectuisr: Has all input wiring been inspected for prop er entry and termination, including testing for ground faults? Were all tank gauging probes visually inspected for damage and residue buildup? ❑ No* ❑ No* Was accuracy of system product level readings tested? ❑ No* Was accuracy of system water level readings tested. Were all probes reinstalled properly? ❑ No* ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? * In the Section H. below, describe how and when these deficiencies were or well be corrected. G. Line Leak Detectors (LLD): ❑ Check this box if LLDs are not installed. Comnlete the folIowinz checklist: Yes ❑ Yes ❑ No* ❑ N/A ❑ No* For equipment start-up or annual equipment certification, was a teat; smmulaiea to \ GILD' LLLJ YLLLVLA&A-4 -M1-. (Check all that apply) Simulated leak rate: 11-3-g.p.h.'; ❑ 0.1 g.p.h.Z; ❑ 0.2 g.p.h.'- Notes: 1. Required for equipment start-up certification and annual certification: 2. Unless mandated by local agency, certification required only for electronic LLD start-up. Were all LLDs confirmed operational and accurate within regulatory requirements? Was the testing apparatus properly calibrated?: Yes Yes ❑ No* ❑ No*. ❑ N/A. For mechanical LLDs, does the LLD restrict product flow if it detects a leak? Yes ❑ No* XfN/A For electronic LLDs, does the turbine automatically shut off.if the LLD detects a leak? ' Yes ❑ No* @(-N/A For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? yes For electronic LLDs, does the turbine • automatically shut off if any portion of the monitoring system malfunctions or fails a test? ❑ No* 4fT NIA For electronic LLDs, have all accessible wiring connections been visually inspected? ❑ Yes ❑ No* 43- N/A Yes ❑ No* Were all items on the .equipment manufacturer's maintenance checklist completed? _ -_ .al hn r rrArfvdt_ - * In the Section H, Detow, uescrlue uurr anu ...,cal .1ac�. u�==�-�•----- - __ _ _ _ - H. Comments: