COMPLIANCE INFO_2002-2005 - Laserfiche WebLink

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Site Address: 5450:1617 W FREMONT, STOCKTON, CA 9520 air 1' 3 Date of Testing/SeMcing: U�-{ Check this box if tank ging is us ed onlyfor inventory control. Check this boxifn:o tank gauging or SIRsquipmant is installed, This section must be completed if in -tank ,gauging equipment is used to perform leak detection monitoring. Co>Kplete tke fbuows!g checklist: Yes M, No* I Her,e,].litiputwisxngbeen inspected for proper entry and termination, including testing foc ground faults? * Yes No* Were aU tank gauging probes visually inspected for damage and residue buildup? Yes No* Was ac curacy of system product level readings tested? 'Yes No* Was ac curacy of system water level readings tested? Yes No* Were all probes reinstalled property? Yes to No* IWere all items on the equipment manufacturer's maintenance checklist completed? w 1A IM MCUOK n, 9e1eW x 0es-crJ0 Roar 8Ad WJMX UM8 aenCleACM Wiese or will be corrected. s G. Line Leak Detectors ): Check this box if LLDs are not installed. compleletketolulbo checklist: Yea Na* NJA For equipmant start-up or annual equipmcertifcati was a leak simulated to verify LLD performance? (Check calf that apply) Simulated leak rate: 3 g.p h l; 0.1 g.p.h.1, 9 0.2 g.p.h? Notes: I. Required for equipment start-up eriificaUon annual certification. 2. Unless mandated by local agency, certification required only for electronic LLD tart -up. im Yes No* Were all LLDs confirmed operational and accurate within regulatory requirements? Yes No* Was the testing apparatus properly calibrated? Yes No* Foxmechanicoll.Ms, does the LLD restrict product Row if it detects aleck? N/A Yes No* For electronic LLD9, does the turbine automatically shut off if the LLD detects a leak? NIA Yes No* For elo onic s, does the turbine automatically shut off if any p on of them 'ring systeim is disabled NIA orc d? Yes No* For electronic L1.D9, does the turbine automatically shut off ifany portion of the monitoring syste.mmalfunctions NIA or &as a test? YesNo* For electronic LLDs, have all accessible wiring connections beenvisuallyinspected? NIA Yes . No* Were all items on the equipment manufacturer's maintenance checklist completed? in the Section A, below, orvillbe corrected. K Comments: J Page 3 of 3 0101