COMPLIANCE INFO_2002-2015 - Laserfiche WebLink

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F. In -Tank Ga ging / SIR Equipment: ® Check 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. Complete the following checklist: ❑ Yes ❑ No" Has all input wiring been inspected for proper entry and termination, including testing for ground faults? ❑ Yes ❑ No* Were all tank gauging probes visually inspected for damage and residue buildup? ❑ Yes ❑ No' Was accuracy of system product level readings tested? ❑ Yes ❑ No* Was accuracy of system water level readings tested? ❑ Yes ❑ No' Were all probes reinstalled properly? ❑ Yes ❑ o" Were all items on the equipment manufacturer's maintenance checklist completed? ection H, below, descr _eak Detectors (LLD): Complete the fol be how and when these deficiencies were or will be corrected. ❑ Check this box if LLDs are not installed. owingchecklist: ® Yes ❑ ❑ No` N/A For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? (Check all that apply) Simulated leak rate: ® 3 g.p.h.; ❑ 0.1 g.p.h ; [10.2 g.p.h. ® Yes ❑ No` Were all LI_Ds confirmed operational and accurate within regulatory requirements? ® Yes ❑ No* Was the testing apparatus properly calibrated? ❑ Yes ❑ ® No` N/A For mechanical LLDs, does the LLD restrict product flow if it detects a leak? ® Yes ❑ ❑ No* wA For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? ® Yes ❑ ❑ o* /A For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? ® Yes ❑ ❑ o* /A For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? ® Yes ❑ ❑ o' /A For electronic LLDs, have all accessible wiring connections been visually inspected? ® Yes ❑ o" Were all items on the equipment manufacturer's maintenance checklist completed? -ction H, below, descri Comments: ALL a how and when these deficiencies were or will be corrected, PLLD GOOD FIRST TRY iitoring System Certifi ation Page 3 of 4 2/21/07