Laserfiche WebLink
Aitoring System Certification <br /> Site Address: 401 W. KETTLEMAN LANE Date of Testing/Service: 03/04/2005 <br /> @ S. LEE AVE. QC-D3 <br /> F. In-Tank Gauging /SIR Equipment ❑ Check this box if tank 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 /> E Yes ❑No• Has all input wiring been inspected for proper entry and termination,including testing for ground faults? <br /> Ifl Yes QNo• Were all tank gauging probes visually inspected for damage and residue buildup? <br /> E]Yes QNoWas accuracy of system product level readings tested? <br /> E]Yes ❑No` Was accuracy of system water level readings tested? <br /> M Yes F-1 No* Were all probes reinstalled properly? <br /> Were all items on the equipment manufacturers'maintenance checklist completed? <br /> ®Yes 1:1 No• <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 /> O <br /> For equipment start-up or annual equipment certification,was a leak simulated to verify LLD performance? <br /> Yes ❑No ❑N/A (Check all that apply)Simulated leak rate: [] 3 g.p.hE]0.1 g.p.h ®0.2 g.p.h <br /> Yes ❑No° Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> Yes QNo" Was the testing apparatus properly calibrated? <br /> Yes [:]No. ®N/A For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> Yes ❑No- 0 N,A For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> ❑Yes ❑No. 0 N/A For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? <br /> 1 N/A For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? <br /> ❑Yes ❑No' <br /> ®Yes ❑No` ®N.A For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> Yes ❑No` Were all items on the equipment manufacturers'maintenance checklist completed? <br /> *In the Section H,below,describe how and when these deficiencies were or will be corrected. <br /> H. Comments: <br /> UNABLE TO TEST LD'S BECAUSE YOU NEED TO BE CERTIFIED TO TEST RED JACKET LD'S ACCORDING TO <br /> ENVIRONMENTAL INSPECTOR DENNIS. <br /> Page 3 of 3 Based on CA form dated 03/01 <br />