COMPLIANCE INFO_1987-2002 - Laserfiche WebLink

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.I �, F In-Tank Gauging/SIR Equipment: ❑ (heck 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. Complete the following checklist: Yes ❑ No* Has UH input wiring been inspected for proper entry and termination,including testing for ground fadirs? - -- Yes ❑ No* Wen all tok pugwg probes visually' for damage and r=due buildup?-- — -- - Yes ❑ No* Was icy of system product level readings tested? Yes ❑ No* 'Was aasrracy of system water level readings tested? Yes 1 ❑ No* Were all probes mhistallod properly? I.Lyes I ❑ No* Were ail items on the equipment manufacturces maintenance checklist completed? *In the Section g,below,desm'be how and when these="—were or wr11 be corm. G. Lute Leak Detectors(LLD): ❑ Check this box if Limos ar+e not installed. Complete the follo checklist: P-Yes ❑ No* For equipment start-up or annual certification, was a kak simulated to verify ILD p]disabled ❑ N/A (Check all that apply) Simulated kakaatc W g p h; ❑0.1 g p h; ❑0.2 g p h. Yes ❑ No* Were all LLDs confirmed operational and accurate within regulatory roquinements? 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 systemN/A or disco ? ❑ Yes ❑ No* For ei c the turbine automatically shut off if any portion of the itoring system m IR N/A or fails a test? ❑ Yes ❑ No* For electronic LLDs,have all accessible wiring connections been visually inspected? A.N/A Yes . ❑ No* I Were all items on the equipment mamifactur4es maintenance checklist completed? *In the Section H,below,describe how and when these deficiencies were or will be corrected. H. Comments: Page 3 ora autir . . fes . .. �,� ,. ..