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UNDERGROUND STORAGE TANK e 5 of 6) <br /> MONITORING SYSTEM CERTIFICATION FORM (Pag <br /> XVI . _INE LEAK DETECMMMMMMMOMWMMTOR TESTING Y N NA <br /> line leak detectors (LLD) are NOT installed . (Do not complete this section . ) <br /> ( Check this box if (" (" <br /> This section must be completed if LLDs are installed . <br /> Was a leak simulated to verify LLD p <br /> erformance? g GPH GPH r 0 .2 GPH �- r <br /> Check all that a I . Simulated leak rate verified : <br /> erl calibrated? alarm �„ r.. �- <br /> a aratus prop y <br /> Was the testing pp <br /> generator tank sual <br /> ystems , does the LLD create an audible and le kis detected a leak is detected? <br /> For emergency gene( a when a <br /> For mechanical LLDs , does the <br /> turbiinne automatically but off whenthrough the restrict the flowpa leak is detected? r I <br /> j For electronic LLDs , does portion of the monitoring system is disabled or disconnected? ry <br /> For electronic LLDs , does the turbine automatically shut off if any p ortion of the monitoring system malfunctions or fails a test? <br /> For electronic LLDs , does the turbine automatically shut off if any p r <br /> inspected r <br /> ronic LLDs , have all accessible wiring connections been visually <br /> completed?for kinks and breaks . <br /> For elect r <br /> Were all items on the equipment manufacturer' s maintenance <br /> requirements? <br /> Were all LLDs confirmed operational within regulatory <br /> er ra "N" above, describe in section XIII how an S hen these issues were or will be correcte . <br /> illillillillillillilliillI <br /> Foran answ X►II . COMMENT <br /> XIV. VACUUM 1 PRESSUREI HYDROSTATIC MON►TORIoNGom4p � PMENthis S TESTING <br /> I✓ Check this box if VPH monitoring is NOT used . (Do n <br /> Pressure r H drostatic ommunication <br /> This section must be coin leted if VPH monitor is used to erform leak detection monitoring <br /> NO <br /> Th Interstitia <br /> r Vacuum Sensor Functionality <br /> S stem T e (Mark all that appt .) ! Test <br /> Test (`" Fail <br /> Sensor ID Component(s) Monitoretl by this Sensor r Fail r Pass <br /> r Pass r Pass r Fail <br /> (-' Pass r Fail Fail 1 Fail <br /> r l r Pass <br /> ( Pass r Pass r Fail <br /> r Pass r Fail (" <br /> Fail Fail <br /> ( l r' Pass <br /> r Pass (" Fail <br /> Pa <br /> r ss ( Fail ( PASS <br /> r Pass r Fail <br /> r Pass r Fad (' Fail <br /> r Pass r Fail r Pass <br /> r Pass r Fail <br /> ( Pass r Fail ( Fail <br /> r Pass r Fail r Pass <br /> r Pass r Fail <br /> I' Pass r Fad (' Fail <br /> r Fail Pass r r Pass <br /> r Visual Inspection <br /> r Simulated leak at far ends of the interstitial space . r Gau e <br /> How was interstitial communication verified? <br /> (" Other Describe the method in section XV below .)escribe the reason in section XV belo% <br /> er�7 MPatin levels in all interstitial spaces? r Yes <br /> No <br /> Was the vacuum or pressure restored to op 9 <br /> er of "N " above, describe in section XI►I how and when (hese issues were or will be correcte . <br /> For anyansw XV COMMENTS <br /> ressurelHydrostatic , ID Identification <br /> GPH = Gallons per hour, Y = Yes , N = No , NA = Not applicable , VPH = VacuumlP = <br />