COMPLIANCE INFO_2012-2017 - Laserfiche WebLink

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E • REGEIVEL SEP 0 8 2015 F. In -Tank Gauging / SIR Equipment: rR Check this box if tank gauging is used only for inventory control. Q Check this box if no tank gauging or sENVROWNTAL This section must be completed if in -tank gauging equipment is used to perform leak detection monitoring. °-ASA "'-U rNCOAO_r•AAGhlT Comolete the followina checklist: X Yes No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults? ;tt Yes 0 No* Were all tank gauging probes visually inspected for damage and residue buildup? _77i 7 No* Was accuracy of system product level readings tested? x Yes 0 No* Was accuracy of system water level readings tested? Yes Yes No* Were all probes reinstalled properly? 0 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): isd Check this box if LLDs are not installed. Com fete the followina checklist: * In the Section H, below, describe how and when these deficiencies were or will be corrected. H. Comments: Monitoring System Certification Page 3 of 4 12f07 3 2121/07 Yes [3 No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? (Check all 0 N/A that apply) Simulated leak rate: 33 g.p.h.; [] 0.1 g.p.h ; [30.2 g.p.h. 0 Yes No* Were all LLDs confirmed operational and accurate within regulatory requirements? Yes No* Was the testing apparatus properly calibrated? 0 Yes _ No* For mechanical LLDs, does the LLD restrict product flow if it detects a leak? N/A Yes No* For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? N/A Yes i No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or N/A disconnected? Yes No. For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or N/A fails a test? [] Yes No* For electronic LLDs, have all accessible wiring connections been visually inspected? - N/A Yes J 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. H. Comments: Monitoring System Certification Page 3 of 4 12f07 3 2121/07