Laserfiche WebLink
4 , <br />F. In -Tank Gauging/ SIR Equipment: <br />r lr 1 n r t_uum rkut 04 <br />0 <br />O Check this box if tank gauging is used only for inventory control, <br />Q 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 />rmmnlata 1ha fnttnavtne r hmnleiic4• <br />Yes <br />O No* <br />Has all input wiring been inspected for proper entry and termination, including testing for ground faults'? <br />Yes <br />O No* <br />Were all tank: gauging probes visually inspected for damage and residue buildup? <br />Yes <br />O No* <br />Was accuracy of system product level readings tested? <br />Yes <br />O No* <br />Was accuracy of system water level readings tested? <br />es <br />❑ No* <br />Were all probes reinstalled properly? <br />Yes <br />Cl No* <br />I Were all items on the equipment txtanufacturer's maintenance checklist completed? <br />* In the Section H, below, describe hoer and when these deficiencies were or will be corrected. <br />G. Line Leak Detectors (LLD): Q Check this box if LLDs are not installed. <br />�Ycs <br />❑ No* <br />For equipment start-up or annual, equipment certification, was a leak simulated to verify LLD performance? <br />O N/A <br />(Check all their apply) Simulated leak rate g.p.h.; O 0.1 g.p.h ; Cl 0.2 g.p.h. <br />Yes <br />O No* <br />Were all LLDs confirmed operational and accurate within regulatory requirements? <br />Yes <br />Q NO <br />Was the testing apparatus properly calibrated? <br />Yes <br />O No* <br />For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br />O N/A <br />O Yes <br />0 No* <br />For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br />,,@''N/A <br />❑ Yes <br />❑ No* <br />For electronic LLDs, does the turbine automatically shat off if any portion of the monitoring system is disabled <br />/A <br />or disconnected? <br />Q Yes <br />O NO <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions <br />lA <br />or fails a test'? <br />_] Yes <br />O No* <br />For electronic LLDs, have all accessible wiring connections been visually inspected? <br />/A <br />Yes <br />10 No' <br />I Were all items on the equipment manufacturer's maintenance checklist completed? <br />* In the Section H, below, describe how and when these deficiencies were or wt tl be eorrectea. <br />H. Comments: <br />Page 3 of 3 03/01 <br />