Laserfiche WebLink
F. In Tank Gauging I SIR Equipment: g Check this box if tank gauging is used only for inventory control. <br />r- <br />�j 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 />-ornplets ine Toiiawing <br />11 Yes El No* <br />-GIICGR11 L. <br />Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br />0 <br />Yes <br />0 <br />No' <br />Were all tank gauging probes visually inspected for damage and residue buildup? <br />11 <br />Yes <br />Ei <br />No* <br />Was accuracy of system product level readings tested? <br />0 <br />Yes <br />0 <br />No* <br />Was accuracy of system water level readings tested? <br />0 <br />Yes <br />o <br />No* <br />Were all probes reinstalled properly? <br />ILI <br />Yes <br />0 <br />No* <br />Were all items on the equipment - manufacturers maintenance checklist completed? <br />* In the Section K, below, aesicnDe now anu wnen unme —1-101 lWaa vw%Fl w wo <br />G. Line Leak Detectors (LLD): u Check this box if LLDs are not installed. <br />-Om rete MO T0110Wing <br />UMIGMIZU <br />For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? (Check all <br />H Yes Ei No* <br />Ei <br />NIA <br />that apply) Simulated leak rate: 0 3 g.p.h.; Ei 0.1 g.p.h ; 0 0.2 g.p.h. <br />0 Yes <br />0 <br />No* <br />Were all LLDs confirmed operational and accurate within regulatory requirements? <br />0 Yes <br />11 <br />No* <br />Was the testing apparatus properly calibrated? <br />Yes <br />o <br />No* <br />For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br />0 <br />N/A <br />❑ Yes <br />0 <br />No* <br />For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br />❑ Yes <br />0 <br />0 <br />N/A <br />No* <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or <br />0 <br />N/A <br />disconnected? <br />0 Yes <br />0 <br />No* <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or <br />J@ <br />N/A <br />fails a test? <br />0 Yes <br />0 <br />No* <br />For electronic LLDs, have all accessible wiring connections been visually inspected? <br />N/A <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />* In the Section M, below, ciescnDe now ana wrien xntmw uagivaumave waaw — uveae <br />H. Comments: NOTE: While testina made LLD ad'ustments ola regular and Premium leak detector, all teste"2-01 <br />manufacturees specifications. <br />Monitoring System Certification Page 3 of 4 I2/07 <br />MAP2 <br />V, It <br />3 2/21/07 <br />