COMPLIANCE INFO_1986-2003 - Laserfiche WebLink

Home Browse Search

Monitoring System Certification Site Address: '0 UC� 7`d r� Date of Testing/Servicing: -LIJKO I -E�O 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. %—UI ICIC 6UC IVIIV vvauF-, ❑ No* a.uc�.auau a. Has all input wiring been inspected for proper entry and termination, including testing for ground faults? Y s 13 No* Were all tank gauging probes visually inspected for damage and residue buildup? (Check all that apply) Simulated leak rate: d 3 g.p.h.1; ❑ 0.1 g.p.h.2; ❑ 0.2 g.p.h.Z as accuracy of system product level readings tested? Notes: i. Required for equipment -start up certification and annual certification. as accuracy of system water level readings tested? BMW; Ed Y ere all probes reinstalled properly? Were all LLDs confirmed operational and accurate within regulatory requirements? s ere all items on the equipment manufacturer's maintenance checklist completed? * In the Section H, below, describe how and when these aeuciencies were yr will I,C - I v.._�... G. Line Leak Detectors (LLD): ❑ Check this box if LLDs are not installed. l.0 IeIC Yes file IVLLU ❑ No* N'Iu�,' �:a=ca.n==a a. For equipment start-up or annual equipment c cation, was a leak simulated to verify LLD performance? ❑ N/A (Check all that apply) Simulated leak rate: d 3 g.p.h.1; ❑ 0.1 g.p.h.2; ❑ 0.2 g.p.h.Z Notes: i. Required for equipment -start up certification and annual certification. 2. Unless mandated by local agency, certification required only for electronic LLD start-up. Ed Y ❑ No* Were all LLDs confirmed operational and accurate within regulatory requirements? s ❑ No* Was the testing apparatus properly calibrated?. Yes ❑ No* For mechanical LLDs, does the LLD restrict product flow if it detects a leak? ❑ N/A ❑ Yes ❑ NN . ❑'N!A For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? ❑ Yes For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled ��NIA71 or disconnected? ❑ Yes Ovqc* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system NIA malfunctions or fails a test? ❑ Yes ❑ o* For electronic LLDs, have all accessible wiring connections been visually inspected? N/A Yes ❑ No* I Were all items on the equipment manufacturer's maintenance checklist completed? * In the Section H, below, describe how ana wnen these uellIZICIA Ca ..VI � V= 11 =1= ..� • w��--• H. Comments: P— 2 of 1 11/15/99