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HomeMy WebLinkAbout2013 RESULTS C FORMMonitoring System Certification F. to-Tank Gauging / SIR Equipment: otJw� S Check this box if tank gauging is used only for inventory control. ❑ Check this box if W unit gauging or SIR equipment is installed. This section must be completed if in -tank gauging equipment is used to perform leak detection monitoring. .n . the t .M rina ° chechlian ...r Yes —_ Has all input wiring tram inspected fm prope r envy and termination, includi .a.s.... for growd faults? YMR ® Yes ging Probes stisually impacted for damage ❑ Yystem S Yea product level readings tested? ❑ Ysystem %ONo- water level madings tested? Mwmpleed? ❑ Yinstalled S Yes properly? ❑ YWere, all item the equipment manufb,.,s mau.nan *In Section H, below, describe how and when teae oencleneres welt car viii, k .:....-1 G. Line Leak Detectors (LLD): ❑ Check this box if LLDs are not installed. Complete the following No" cheeWnn For equipment start -up m annual equipment certification, was a leak simulated m verify LLD performance? ® Yes ❑ ❑ N/A (Check all that aPPIY) Simulmad leek rat.: S 3 g.p.h.; 0 0.1 g.p.h ; O 0.2 g.p.h. S Yea ❑ No" Wen all LLDs confirmed operational and ate w within mgwmory requirements? S Yes ❑ No• Was the testing apparatus Properly calibrated? S Yes ❑ Noe For mechanical LLDs, does the LLD restrict Product flow if it detects a leak? Cl NIA ❑ Ya ❑ No' For electronic LLDs, does the turbine automatically shut off ifthe LLD detects a leak? ❑ Yes S N/A [I No' For electronic LLDs, does the turbine automatically shot off if MY portion of the monitoring system is disabled S N/A or disconnected? ❑ Yes ❑ No" For electronic LLDs, does the turbine automatically shut off if any portion of the mwhoring system maittmc[iom S NIA oe fails a tat? ❑ Yea ❑ No* For electronic LLDs, have all access a wiring connections been visually inspected? S NIA S Yes I ❑ No- I Were all items on the equipment n.nufactureYs maintenance checklist computed? * In Section H, below, describe how and when these deficiencies were or will be corrected. H. Comments: Page 3 of 5 rev- 036_3 14 w .uaidmsorg Rev. atn?/a