COMPLIANCE INFO_1997-2006 - Laserfiche WebLink

Home Browse Search

Monitoring System Certification i Site Address: 066 �Yt� 3 M i d ' ", �'y 19CA Date of Testing/Servicing: g/ 3 / (> t F. In -Tank Gauging / SIR Equipment: byCheck 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. VVLl&PLGtG ❑ Yes alae lVaav llaaai', ❑ No* a.aaa...ava- 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 r❑ ❑ No* Were all probes reinstalled properly? ❑ Yes ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? - * In the Section H, below, describe how and when these aeticieneies were yr Will uc cut act tcu. G. Line Leak Detectors (LLD): ❑ Check this box if LLDs are not installed. ova i A(i's [Yes`Le ❑UNo*V„ For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? ❑ ❑ N/A (Check all that apply) Simulated leak rate: ❑ 3 g.p.h.'; ❑ 0.1 g.p.h.2; ❑ 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 wart -up. ❑ Yes ❑ No* Were all LLDs confirmed operational and accurate within regulatory requirements? ❑ Yes ❑ No* Was the testing apparatus properly calibrated?: ❑ Yes ❑ No*. For mechanical LLDs, does the LLD restrict product flow if it detects a leak? ❑ N/A ❑ Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? - ❑ N/A ❑ Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled ❑ N/A or disconnected? ❑ Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system ❑ N/A malfunctions or fails a test? ❑ Yes ❑ No* For electronic LLDs, have all accessible wiring connections been visually inspected? C1 N/A ❑ Yes ❑ N/A Were all items on the equipment manufacturer's maintenance checklist completed? 71 *In the Section H, below, describe how and `viten tnese aeuciencies Neer c V. NN na ��■ a t. �..a. H. Comments: