COMPLIANCE INFO_2002-2006 - Laserfiche WebLink

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UNDERGROL_ STOR4GE TANK MONITORLNG SYSTEOERTM, 121 TIO'-N- T Z. Ir--Vann Caugin. 11 SIR Fauip�eut Pe-mit Number Checl,this bon_if tan,:gau�*ing is used oniv for inventory contro' ❑ Check this box if no tan,:gauping or Sff,eauininstalled This section must be co=1cted i:.rin-taxi: ,auainZ--Ouimmmt is used to pen'TO leak detection monitoTinrt. complete the foliowirg checklist: Q Yes ❑ No* Has alt input vnring been inspekted for proper entry and termination;including testing for ground faults? ❑ Yes ❑ No* Were all tank ganging probes isually inspected for damage and residue buildup" Yes ❑ No* Was accuracy of system produc level reaaings tested? Yes I ❑ No Was accuracy of system water level eadings tested? Yes ❑ No* Were all probes reinstalled properly? Yes ❑ No* ( Were all items on the equipment manufacturer's�tenance checklist completed? In Section H below,describe how and when these deficiencies were o)are l be corrected. C. Line Leek Detectors (LSD): Z] Check this box if LLDs of instaIled. Compet the following checklist: ❑ Yes ❑ No* For equipment start-up or annual equipment certifica on, was a leak simulated to verify LLD performance? ❑ NIA (Check all that apply) Simulated leak rate: ❑3 g.p.h ❑ 0.1 g.p.h. ; ❑ 0.2 g.p.h. i ❑ Yes ❑ No* Were all LLDs confirmed operational and accurate thin regulatory requirements? ❑ Yes ❑ No* Was the testing apparatus properly calibrated? ❑ Yes ❑ No* For mechanical LLDs, does.the LLD restrict pro uct flow if it detects a leak? ❑ NIA ❑ Yes ❑ No* For electronic LLDs, does the turbine auto ma ally shut off if the LLD detects a leak? ❑ NIA ❑ Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled ❑ NIA or disconnected? d ❑ Yes ❑ No* For electronic LLDs, does the turbine autorr atically shut off if any portion of the monitoring system malfunctions ❑ NIA or fails a test? ❑ Yes ❑ No* For electronic LLDs,have all accessible wiring connections been visually,inspected? ❑ NIA ❑ Yes ❑ No Were all items on the equipment manufacturer's maintenance checklist completed? *In Section R below,-describe-how and when these deficiencies were or will be corrected. H. Coicftments• 'I DEMHKL 9301,(Rey O8/02) •Page 3 of 4 -County of Sart Diego-DEB[-Hazardous Materials Division.