COMPLIANCE INFO_2013-2016 - Laserfiche WebLink

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F. In -Tank Gauging/ SIR Equipment: ❑ 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. r`mmnlata tha fnlinwinn r_hankiiat- v/ Yes No Has all input wiring been Inspected for proper entryand termination, includng testing for ground faults? W Yes ❑ No* Were all tank gauging probes visually inspectedfor damage and residue buildup? d Yes No* Was accuracy of system product level readings tested? [J Yes ❑ No* Was accuracy of system water level readings tested? [;6 Yes ❑ No* Were all probes reinstalled properly? [ YYes ❑ 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. Line Leak Detectors (LLD); V Check this box if LLDs are not installed. (1nm Mlata thn fnllnwlnn eharkllct• ❑ Yes No* N/A For equipment start-up or annu"quipmenertiflcation, was a leak simulated to verify LLD performance? (Check all that apply) Simulated leak rate: LJ3 g.p.h.; 0.1 g.p.h ; 00.2 g.p.h. Yes No* Were all LLDs confirmed operational and accurate within regulatory requirements? Yes No* Was the testing apparatus properly calibrated? Yes No* N/A For mechanical LLDs, does the LLD restrict product flow if it detects a leak? Yes No* N/A For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? ❑ Yes �] No* N/A For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? Yes o* N/A For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? ❑ Yes ❑ No* N/A For electronic LLDs, have all accessible wiring connections been visually inspected? Yes No* Were all items on the equipment manufacturer's maintenance checklist completed? * in the 5ection H, below, asscrioa now ana when these aenciencies were or wni ne correcteo. H. Comments: 1 Monitoring System Certification Page 3 of 4 12107