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111st.ructtons ilevquipmellit testing an-ert>iiication <br />General instructions <br />1. Equipment that monitors underground storage tank systems containing hazardous materials must be tested/sci ' 'l <br />annually. or on a schedule specified by the manufacturer, whichever is rnore frequent. <br />2. This certification form must be used to document the following activities: l.) Periodic testing as described al ­ <br />2.) Testing of new monitoring systems upon installation; 3.) Testing of replacement sensors, probes, of "I" <br />system components; and 4.) Testing of repaired sensors, probes,'or other system components - <br />3. As noted on Page 1, a separate certification Turin must be competed for each individual monitoring system ctwll"t <br />panel. For example: If one control panel monitors in -tank gauging probes and another panel monitors electrorm I" <br />leak detectors, two certification forms would be required. <br />4. Be aware that many local agencies require that a permit be obtained rior to installing new monitoring systcti <br />components. Check with your local agency for their requirements before starting work. <br />Section B <br />- 1. In the "Dank ID sections, describe which tanks you worked on (e.g. Diesel Tank, North Tank, Middle Tank). <br />2. For compartmented tanks, list each compartment as a separate tank. <br />3. Where "Model" is asked for, the name of the manufacturer and the manufacturer's specific model name or numbs , <br />referenced in the "List of Leak Detection Equipment and Methods for Underground Storage Tanks" (i.e. LG I I't <br />must be specified. <br />4. Hands-on functional testing of individual leak detection components to confirm operability to manufactui rl "' <br />specifications and state regulations is required. This includes verifying any automatic shut-off features. In the t,tl"O <br />of sensors that can not be non-destructively tested, contact your local agency that regulates UST systems to sc'rt F <br />they will approve alternate testing methods (e.g. testing of representative samples). <br />Section C <br />1. Certification must be made by a state -registered technician. <br />2. All work associated with testing/servicing of equipment must be performed by or under the direct supervision d '1 <br />certifying technician. <br />- Section D <br />1. Leak sensors must be reinstalled at the low points of the secondary containment systems they monitor and posilnnl''t <br />so that other equipment will not interfere with their proper operation. <br />2. When testing operability of positive turbine shut-dwvn, you must: 1.) verify shut -down by simulating a leak; ;uid <br />verify shut -down by disconnecting the sensor. <br />Site Plan <br />You must attach a Site Plan showing the general layout of tanks,and piping. Clearly identify locations of the follw\ <br />equipment, if installed: monitoring system control panels; sensors monitoring tank annular spaces, sumps, disl��'tt'"' <br />pans, spill containers, or other secondary containment areas; mechanical or electronic line leak detectors; and ill will. <br />liquid level probes (ifused for leak detection). Note the date the Site Plan was prepared <br />