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F Equipment: <br />Float and Chain E ment: ❑ Check this box if floats and chains are not present at this site. <br />�. P <br />❑ Check this box if float and chain equipment is installed but only as <br />secondary leak detection. <br />This section must be completed if floats and chains are used to perform leak detection monitoring. <br />Com Tete the following checklist: <br />® Yes ❑ No* Were all float and chain equipment properly inspected and tested for correct functionality? <br />® Yes ❑ No* I Were all float and chain equipment certified to be working properly? <br />k In the Section M, below, describe how and when tnese aenciencies were or win ue cur, vuLcu. <br />L. Impact Valves: ❑ Check this box if impact valves are not installed. <br />Complete the following checklist: <br />® Yes ❑ No* Were all impact valves properly inspected and tested for correct functionality? <br />❑ Yes ® No* Were all impact valves certified to be working properly? <br />k In the Section M, below, describe how and when these denciencmes were or win oe correcdeu. <br />M f nmmenk! <br />DISPENSER #1/2 DIESEL SHEAR VALVE FAILED TO SHUT OFF PRODUCT FLOW WHEN TRIPPED <br />NEED TO REPLACE AND RETEST <br />Page 5 of 5 <br />Monitoring System Certification <br />