COMPLIANCE INFO_1998-2008 - Laserfiche WebLink

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. Site Address: 11 l ? :, � _'; 0 "e f'T'esting/Servicing: a /4 `. / 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 followine checklist: ❑ Yes I ❑ No* I Has all input wiring been inspected for proper entry and termination, including testing for ground faults? ❑ Yes ❑ No* Were all tank gauging probes visually inspected for damage and residue buildup? ❑ Yes ❑ No* Was accuracy of system product level readings tested? ❑ Yes ' ❑ No* Was accuracy of system water level readings tested? ❑ Yes ❑ No* Were all probes reinstalled properly? ❑ Yes ❑ No* I Were all items on the equipment manufacturer's maintenance checklist completed? �_-..,.....7 .,.,.,,.., ........... ...... I—.. uMat; ucuucelceca were ur wj17 uc correcteu. G. Line Leak Detectors (LLD): ❑ Check this box if LLDs are not installed. Complete the followine checklist: Yes ❑ No* For equipment start-up or annual equipmerlt certification, was a leak simulated to verify LLD performance? ❑ N/A (Check all that apply) Simulated leak rate: X3 g.p.h.; ❑ 0.1 g.p.h ; ❑ 0.2 g.p.h. ty Yes ❑ No* Were all LLDs confirmed operational and accurate within regulatory requirements? 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 ❑ o* For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? N/A ❑ Yes ❑ * For electronic LLDs, does the turbine automatically shut off if any of the monitoring is disabled N/A portion system or disconnected? ❑ Yes —❑/No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system ,UN/A malfunctions or fails a test? ❑ Yes ❑ o* ® 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? ___ ____ -___..... __, ... .., ,,,,,, ,,,,,, ,,,,�„ ,ucac ucucecucica wc►r ur weu ue correcteu. H. Comments: