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11ustructionW, i.quipmeut 1 esting a` Cert>itieation General Instructions I. Equipment that monitors underground storage tank systems containing hazardous materials must be t sted/servicc(j 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: I.) Periodic testing as de ribed above: 2-) Testing of new monitoring systems upon installation; 3.) Testing of replacement sensors, pr(bes, or other system components; and 4.)Testing of repaired sensors,probes, or other system components. 3. As noted on Page 1, a separate certification form must be competed for each individual monitorings sten connul panel. For example: If one control panel monitors in-tank gauging probes and another panel monitors clectronic line leak detectors, two certification forms would be required. 4. Be aware that many local agencies require that a permit be obtained prior to installing new monitoring systems or components. 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 Ta 2. For compartmented 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" '.e. LG-113) must be specified. 4. Hands-on functional testing of individual leak detection components to confirm operability to m nufacturer's specifications and state regulations is required. This includes verifying any automatic shut-off features In the case Of sensors that can not be non-destructively tested, contact your local agency that regulates UST systems to see if they will approve alternate testing methods (e.g. testing of representative samples). Section C I. Certification must be made by a state-registered technician. 2. All work associated with testing/servicing of equipment must be performed by or under the direct supe inion of the certifying technician. Section D I. Leak sensors must be reinstalled at the low points of the secondary containment systems they monitor an I positioned so that other equipment will not interfere with their proper operation. 2- When testing operability of positive turbine shut-down, you must: 1.) verify shut-clown by simulating a eak: and 2.) verify shut-down by disconnecting the sensor. Site Plan You must attach a Site Plan showing the general layout of tanks and piping. Clearly identify locations of tl e following equipment, if installed: monitoring system control panels; sensors monitoring tank annular spaces, sump;, dispenser pans, spill containers, or 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.