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Instructions for Equipment Testing and Certification General Instructions 1. Equipment that monitors underground strorage tank systems containing hazardous materials must be tested/serviced annually,or on a schedule specified by the manufacturer,whichever is more frequent. 2. This certification form must be used to document the following activities: 1.)Periodic testing as described above;2.) Testing of new monitoring systems upon installation; 3.)Testing of replacement sensors,probes,or other system; and 4.)Testing of repaired sensors, probes, or other system components. 3. As noted on Page 1,a separate certification form must be completed for each individual monitoring system control panel. For example: If one control panel monitors in-tank gauging probes and another panel monitors electronic line leak detectors, two certification forms are required. 4. Except in the case of emergency repairs, many local agencies require that a permit be obtained prior to installing new monitoring systems or components(i.e. installation of new or different equipment, rather than using parts identical to those replaced). Check with your local agency for their requirements before starting work. Section B 1. In the Tank ID sections,describe which tanks you worked on(e.g. Diesel Tank, North Tank, Middle Tank). 2. For compartmental tanks, list each compartment as a separate tank. 3.Where"Model'is asked for,the name of the manufacturer and the manufacturer's specific model name or number, as referenced in the"List of Leak Detection Equipment and Methods for Underground Storage Tanks"(i.e. LG-113)must be specified. 4. Hands-on functional testing of individual leak detection components to confirm operability to manufacturer's specifications and state regulations is required.This includes verifying and mechanical or electronic automatic shut-off features(e.g. dispenser floats and chains). In the case of sensors that can not be non-destructively tested,contact you local agency that regulates UST systems to see if they will approve alternate testing methods(e.g.testing of representative samples). Section C 1.Certification must be made by a licensed and certified technician as per 23 CCR 2.All work associated with testing/servicing of equipment must be performed by or under the direct supervision of the certifying technician. Section D 1.When testing operability of positive turbine shut down,you must; 1.)Verify shut-down by simulating a leak; and 2.) Verify shut-down by disconnecting the sensor. Attachments 1.Site Plan-You must attach a drawing showing the general layout of tanks and piping. Clearly identify locations of the following equipment, if installed: monitoring system control panels;sensors monitoring tank annular spaces,sumps, dispenser pans,spill containers,and other secondary containment areas; mechanical or electronic line leak detectors; and in-tank liquid level probes(if used for leak detection). Note the date the Site Plan was prepared. 2. System Set-Up Report- If the monitoring system or diagnostic equipment used in testing is capable of generating a hard-copy report describing system set-up,you must include a copy of the report with this Certification. 3.Alarm History Report-If the monitoring system is capable of generating a hard-copy alarm history report,you must include a copy of the report with this Certification. Relevant alarms that should appear in this report include overfill, high water,and leak detection equipment related alarms.This should be printed before you test any sensors. 05100