COMPLIANCE INFO_2022 - Laserfiche WebLink

Home Browse Search

GPH =Gabrs Per How, Y=Yes, N =No, NA= Not Appli able, VPH=VaaamResmze+WroeWdti , ID=1derEficafion UNDERGROUND STORAGE TANK MONITORING SYSTEM CERTIFICATION FORM (Page 5 of s) XII. LINE LEAK DETECTOR TESTING L] Check this box if line leak detectors (LLD) are NOT installed. (Do not complete this section.) This section must be completed H LLDs are Installed. Y N NA Was a leak simulated to verify LLD performance?— (Check all that apply.) Simulated leak rate verified: 3 GPH ❑ 0.1 GPH ❑ 0.2 GPH O EJ [:1Was the testing apparatus properly calibrated? O ❑ ❑ For emergency generator tank systems, does the LLD create an audible and visual alarm when a leak is detected? ❑ ❑ 0 For mechanical LLDs, does the LLD restrict the Bow through the pipe when a leak is detected? 11 El electronic LLDs, does the turbine automatically shut off when a leak is detected? ❑ ❑ XFor electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnectetl? ❑ ❑ O For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? ❑ ❑ For electronic LLDs, have all accessible wiring connections been visually inspected for kinks and breaks? ❑ ❑ 0 Were all items on the equipment manufacturer's maintenance checklist completed? ❑ ❑ Were all LLDs confirmed operational within regulatory requirements? 13 El answer of "N" above, describe in Section XlIf how and when these issues were or will be corrected. XIII. COMMENTS XIV. VACUUM I PRESSURE I HYDROSTATIC MONITORING EQUIPMENT TESTING Q Check this box if VPH monitoring is NOT used. (Do not complete this section.) This section must be completed if VPH monitoring is used to perform leak defection monitoring. Ystem Type (Mark all that apply.) ❑ Vacuum Pressure i ❑ ❑Hydrostatic Sensor ID Component(S) Monitored By This Sensor Sensor Functionality Interstitial Communication Test Test ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Paas ❑ Fail ❑ passE] Fail ❑ Paas ❑ Fail ❑ How was interatrial communication verified? ❑Simulated Leak at Far Ends of the Interstitial Space Pass F-1 Fai❑ Pass ❑ Visual Inspection ❑ Fail Other (Describe the method in section XV below. ❑ Gauge Was the vacuum or pressure restored to operating levels in all interstitial spaces? ❑Yes L -j No ribe the reason in hon XV below.) "Fall' For any answer of above, describe in Section XV how and when these issuers were orcwill be corrected, XV. COMMENTS GPH =Gabrs Per How, Y=Yes, N =No, NA= Not Appli able, VPH=VaaamResmze+WroeWdti , ID=1derEficafion