COMPLIANCE INFO_2004-2006 - Laserfiche WebLink

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%:1.6 6LZ0 bbZ SE6 9 T:S T b00Z-02—NOW Site Address: 10 E. 12TH STREET,TRACY Date of Testing/Servicing: 8/11/03 F. In-Tank Gauging/SIR Equipment: S 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. Com tete the follo ing checklist: S Yes ❑ No* Has all input wiring been inspected for proper entry and termination,including testing for ground faults? S Yes ❑ No* Were all tank gauging probes visually inspected for damage and residue buildup? S Yes ❑ No* Was accuracy of system product level readings tested? S Yes ❑ No* Was accuracy of system water level readings tested? S Yes ❑ No* Were all probes reinstalled properly? S Yes ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? *In the Section H,below,describe how and when these deficiencies were or will be corrected. G. Dine beak Detectors (LLD): ® Check this box if LLDs are not installed. Com lete the follo ine checklist: ❑ Yes ❑ No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? [IN/A (Check all that apply) Simulated leak rate: El3 g.p.h.1; p 0.1 g.p.h.2; El0.2 g.p.h z Notes: 1. Required for equipment start-up certification and annual certification. 2. Unless mandated by local agency,certification required only for electronic LLD start-up. ❑ Yes ❑ No* Were all LLDs confu-med 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? ❑ N/A ❑ Yes ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? In the Section H,below,describe how and when these deficiencies were or will be corrected. H. Comments: V00[B SSOIAHHS MHOA. HN 6LZ0 66Z SZ6 XVS 90:9T SILL 60/0£/£0