COMPLIANCE INFO_2004-2008 - Laserfiche WebLink

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a Site Address: �r�.�t iia af�of'I'estinglServicing: �. , F. In -Tank Gauging / SIR Equipment: O 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: Li Y es U No -as aii input wiring been inspected or proper entry and termination, including testing for ground faults? ❑ Yes L3 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* i1' in tha Rnrtinn N Were all items on the equipment manufacturer's maintenance checklist completed? hal.,. .la :1... 1. .1 .11, al. .1_ ------ _ ___ -, _ _____�_ ___.. ____— .. .. _.. ......... .............�e..0 ..v•.. vl v�lll V4 \:VI Il:l ll'U. G. Line Leak Detectors (LLD): ❑ Check this box if LLDs are not installed. Comnlete the followinu checklid! a.cl,clulm va vvCle Ur wm Ue currectea. H. Comments: ❑ No* For equipment start-up or annual equipment ce tion, was a leak simulated to verify LLD performance? ❑ N/A (Check all that apply) Simulated leak rate: 3 g.p.h.; ❑ 0.1 g.p.h ; ❑ 0.2 g.p.h. FLOYes ❑ No* Were all LLDs confirmed operational and accurate within regulatory requirements? EJ ❑ No* Was the testing apparatus properly calibrated? ❑ a* ® Al/A For mechanical LLDs, does the LLD restrict product flow if it detects a leak? Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? ❑ N/A EJ Yes ❑ 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? 15 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? +t in tha Cant:.... W 1-1- .. _J....__el__ a_ - __ _I __-'- -.. .. ... -_- _ a.cl,clulm va vvCle Ur wm Ue currectea. H. Comments: