COMPLIANCE INFO_2000-2005 - Laserfiche WebLink

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Monitoring System Certification SitesAddress: Date of Testing/Servicing: 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: ❑ Yes' ❑ No*. 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* 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): ❑ Check this box if LLDs are not installed. Complete the following checklist- - Yes ❑ No* For equipment start up or annual- equipment certification, was a leak -simulated to verify LLD performance? ❑ N/A (Check all that apply) Simulated leak rate: -g p h:°; ❑ 0.1 g:p h�; ❑ 02 g.p h? - Notes 1. Required for equipment start-up certification and annual certification. .2 Unless mandated by local agency, certification -required only for electronic LLD startup. • fifYes ❑ No* Were all LLDs confirmed operational and zcauate within regulatory requirements? Yes a No* Was the testing apparatus properly calibrated? ❑ No* For mechanical LLDs, does the LLD restrict product flow if it detects a leak? OKY�es ❑ NIA ❑ Yes ❑ No* For -electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? -- N/A ❑ Yes a No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled N/A or disconnected? ❑ Yes ❑ No* For electronic LLDs, does the. turbine automatically shut off if any portion of the -monitoring. system ,$ N/A malfunctions or fails a test? ❑ Yes ❑ No*• For electronic LLDs, have all accessible wiring connections been visually inspected? N/A Yes ❑ 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.