COMPLIANCE INFO_1986-2006 - Laserfiche WebLink

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t lonitcring System Certification f a to Address: Ii 14101 t�i ; ,,.. .. !r1. +y �/�rDate t)f'I'catinLv/ScN6cing: -It/J L/iI Qy 1 . )(n-'Wank Gauging/SIR Equipment: WrT icck this box if tank gauging is used only for inventory control. Q Check this box il'no taint:gnug;int,or SIR equipment is installed. I his section must he conipleted if in-tank g4111g.;ittg:;ccluipnjcltt is used to Perlin• lwtk detection monitoring. omplete the following checklist: Yes ❑ Now i Has all input wiring been inspected for proper entryand termination.including testing for ground faults? Yes a No* Were all tank gauging probes visually inspected f'or damagc'and residue buildup? Yes O No* Was accuracy of system product level readings tested? Yes O No* Was accuracy of syste:il water level readings tested'? Yes ❑ Now Were all probes reinstalled properly? Yes 0 No* I Were all items on the equipment manuhiclurer's maintenance checklist completed? in the Section H,below,describe how and when these defiiciencice were or will be corrected. Line Leak Detectors(LLD): ieek tit is box If LLD-,are not installed. ;r f'J Nt emplete tate following;checklist: • , Yes ❑ No" I-7or equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? ❑ N/A (Check all haat apply) Simulated leak rate: ❑3 g.p.h.; O 0.1 g.p.h; ❑0.2 g.p.h. Yes O No* Were all 110x confirmed operational and accurate within regulatory requirements? Yes Q No* Was the testing apparatus properly calibrated? Yes O No* For mechanical LLVs,does the LLD restrict product flow if it detects a leak? 0 NIA J Yes ❑ Nov- For electronic I,I.Ds,does the turbine automatically shut oft'if the LLA)detects a leak? 0 NIA I Yes ❑ No* For electronic L.LE)s,does the turbine automatically shat off if any portion of the monitoring system is disabled ❑ NIA or disconnected? Yes ❑ No* For electronic I.,LI)s, does flee turbine automatically shut off if any portion of the monitoring system C] N/A malfunctions or fails a test? 1 Yes ❑ No* For electronic I..LDs,have all acces%ible wiring•,connections been visually inspected? ❑ NIA 1 Yes ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? n the Section H,below,describe how and when these deficiencies were or will be corrected, 1 Comments: „v Page 3 of 3 195180 L 'd 2i i0-64L (1302) e22 :80 *0 02 idu