COMPLIANCE INFO_2016-2018 - 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. Complete the following checklist: * In Section H, below, describe how and when tnese aencrencres were or win Yes oe correccea. No* N/A ❑ Yes ❑ No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults? are not installed. ❑ Yes ❑ No* Were all tank gauging probes visually inspected for damage and residue buildup? Were all LLDs confirmed operational and accurate within regulatory requirements? ❑ Yes ❑ No* Was accuracy of system product level readings tested? Yes ❑ Yes ❑ No* Was accuracy of system water level readings tested? ❑ Yes ❑ No* Were all probes reinstalled properly? ❑ ® ❑ Yes ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? ® Yes ❑ ❑ ® * In Section H, below, describe how and when these deficiencies Yes oe correccea. No* N/A Line Leak Detectors (LLD): ❑ Check this box if LLDs are not installed. ® * In Section H, below, describe how and when these deficiencies Yes ❑ ❑ No* N/A For equipment start-up or annual equipment certification, was a leak simulated to verify LLD Simulated leak rate: ® 3 g.p.h.; ❑ 0.1 g.p.h ; [10,2 g.p.h. performance? (Check all that apply) ® 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 ❑ ❑ No* N/A For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? =Ye❑ ❑ 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? H. Comments: ALL 3 PLLDS PASSED were or will be correctea. Monitoring System Certification Page 3 of 4 2/21/07