COMPLIANCE INFO_2002-2005 - Laserfiche WebLink

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�8 5450:161't W FTLEMONT,STOCKTON,CA 95203 Date of TestrnglSemcing 6/8/2005 F. In-Tank Gauging ISM 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 egiupment is used to perform leak detection monitoring. Ca lets the folio ' cke ° t: Yes No* Has all input -begninspectedforproperentryandt anon,includingtesting for ground faults? Yes hs No* Were all tank gauging probe yspectedf age and residue buildup? Yes No* Was accuracy of system pro duct leve stasted? Yes No* Was accuracy of system water le adirtgs t Yes No* Were all probes reinst roperly? Yes No* Were all ite a equipment manufactarer's maintenance ch-ow t carupleted? *In the Section H,below-,-65scribe kow and when&we deficimmics wear or will be ea ted. C. Line Leak,Detectors (LLD): . . Checkthis boxifLLAs are notinnstalled. Com late tke folio checklist Yes No* For equipment startup or annual equipme t certification, was a leak simulated to Verify LLD performance? NIA (Check all thatapply) Simulated leak rate: ,3 g.p.h.i; .0.1 g.p.h?a 0.2 g.p.h? Notes: 1. Required for equipment startup certification annual cerMcatson. 2, Unless mandated by local agency,certification required only for electronic LLD startup. Yes No* Were all LLDs confirmed operational and accurate within regulatory requirements? Yes No* Was the testing appuaftw properly calibrated? Yes No* Formech 'col s,does the restrictproductflowifit detects ala NIA Yes No* For electronic LLD9,does the turbine automatically shut off if the detects aleek? NIA Yes No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled NIA or disconnected? Yes No* For electronic LLDs, does the turbine automatically shut off if anyportion of the monitoring system maMinctions NIA or fails a test? Yes No* For electronic LLDs,have elk accessible wising connections been visually inspected? NIA Yes No* Ware all items on the equipment manufacturer's maintenance checklist complete d? *In the Section H,below,describe kow and wken tkese deficiencies men or will be corrected. H. Comments: Page 3 of 3 03Al