Laserfiche WebLink
I _, 16347:2430 JOE POMBO P TRACY,CA 95376 DatjKTe arvicing: 110/13t2665 <br /> EL <br /> F. In-Taukbra u&g/SIREq*merit: Check this box if tank gauOW is used only for inventory control <br /> Check this box if no tank gauging or SIR equipment is installed. <br /> Mis section must be completed if in-tank Sau&W equipment is used to perform leak detection monitoring <br /> Co leis the faimb Checklist <br /> I(Yss E No* Has all inpit wiring been Inspected for proper-enky and tenyii;nation,including testing for ground faulu? <br /> Mr R---s a -WNo* Were all tank gauging probes visually inspectedfor damage and residue buildup? <br /> Yes AN <br /> i_s__-1 No* Was accuracy of system product level readings tested?-No* <br /> Yes Was accuracy of system water level readings tested? <br /> Yes KNo* Were all probes reinstalled properly? <br /> Yos No* I Were all items on the equipment manufacturer's maintenance checklist completed? <br /> In the Section H,below,describe how and when those deficiencies won or will be corrected. <br /> G. Line Leak Detectors (LLD): Check this box if UDs are not installed. <br /> Co @ Tete the follow checklist <br /> INo* For equipment start-up or annual equipment carffication, Was a.leak simulated to verify LLD performance? <br /> NIA (Check aft that apply) Simulated look rets:AD&pILI; �M 0.1 gp.&2; M 02 g.ph.2 <br /> Notes: 1. Required On equipment startup cartiOcAfion AnA annual certification. <br /> 2. Unless mai;nddedby local agency,c' ' cation required only for electronic LLD start-up. <br /> M Yes No* Were all LLDs conlimed operational and accurate wftbin regulatory requirements? <br /> Yes <br /> Yes No* Was the testing apparatus properly calibrated? <br /> Yes 'No* FormachaniceILLDs.does the LLD restrictproductfiow if it detects&'IeW. <br /> IR <br /> NIA I <br /> Yas <br /> No* For electronic LID9.does the turbine automaically shut off if the LLD detects aleck? <br /> NIA <br /> Yes No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitcAng system is disabled <br /> NIA or disconnected? <br /> Yes No* For electronic LLD9, does the tutbine automatically shut off if anyportion of the monitoring systemmelturtctions <br /> NIA or fails a test? <br /> Yos No* For electronic 1LDs,have all accessible witing connections been vimelbr inspected? <br /> NIA <br /> Yes No* I Were,all items on the equipment m maintenance checklist completed? <br /> In the Section H,below,describe how end when Ilum 4oficlencles ware or will to corrected. <br /> IL Comments: '.-C> <br /> F <br /> Page 3 of 3 93AI <br />