Laserfiche WebLink
Monitoring System Certification <br />Site Address: 1469 E HAMMER LANE <br />F. In -Tank Gauging / SIR Equipment <br />v <br />Date of Testing/Service: 07/21/2006 <br />❑ Check this box if tank gauging is used only for inventory control. <br />® Check this box if no tank gauging or SIR equipment is installed. <br />This section must be completed if in tank gauging equipment is used to perform leak detection monitoring. <br />Complete the following checklist: <br />El Yes <br />® No * <br />Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br />El Yes <br />❑ No ` <br />Were all tank gauging probes visually inspected for damage and residue buildup? <br />x❑ Yes <br />❑ No * <br />Was accuracy of system product level readings tested? <br />0 Yes <br />® No * <br />Was accuracy of system water level readings tested? <br />x Yes <br />❑ No * <br />Were all probes reinstalled properly? <br />x❑ Yes <br />❑No* <br />Were all items on the equipment manufacturers' maintenance checklist completed? <br />in die Jecuon M, oeiow, oescnae now ana wren mese oenciencies were or Will De corrected. <br />G. Line Leak Detectors (LLD) : ❑ Check this box if LLDs are not installed. <br />Complete the following checklist: <br />❑x Yes <br />❑ No * <br />For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br />❑N/A (Check all that apply) Simulated leak rate:x❑ 3 g.p.h ® 0.1 g.p.h ❑0.2 g.p.h <br />MR Yes <br />® No * <br />Were all LLDs confirmed operational and accurate within regulatory requirements? <br />x Yes <br />® No * <br />Was the testing apparatus properly calibrated? <br />M Yes <br />❑ No * <br />❑ N/A For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br />❑ Yes <br />❑No * <br />El N/A For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br />❑ Yes <br />[--]No* <br />Q N/A For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? <br />❑ Yes <br />❑No * <br />x❑ N/A For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? <br />❑ Yes <br />❑No ` <br />❑ N/A For electronic LLDs, have all accessible wiring connections been visually inspected? <br />rul <br />LfjYes <br />❑No ` <br />Were all items on the equipment manufacturers' maintenance checklist completed? <br />in Die Jecuon n, Deiow, oescrlDe now ana when meseoetclencies were or Will De correctea. <br />H. Comments: <br />water found inside 89 stp sump. <br />replaced 3 leak detectors. <br />Page 3 of 3 Based on CA form dated 03/01 <br />