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Underground Storage Tank Monitoring System Certification Form 7. LINE LEAK DETECTOR TESTING ❑ Check this box if line leak detectors ARE NOT installed. (Do not complete this section.) Simulated release rate verified: (Check all that apply.) Yes No NA 0 3 GPH ❑ 0.1 GPH [:10.2 GPH Has the testing apparatus been properly calibrated? D ❑ ❑ For emergency generator tank systems, does the LLD create an audible and visual ❑ ❑ 0 alarm when a leak is detected? ❑ 91 99LD2000 For mechanical LLDs, does the LLD restrict the flow through the pipe when a 21 ❑ ❑ release is detected? DSL LINES 0 ❑ For electronic LLDs, does the turbine automatically shut off when a release is ❑ ❑ E1 detected? For electronic LLDs, does the turbine automatically shut off if any portion of the ❑ ❑ 0 monitoring system is disabled or disconnected? ❑ ❑ For electronic LLDs, does the turbine automatically shut off if any portion of the ❑ ❑ 0 monitoring system malfunctions or fails a tightness test? ❑ For electronic LLDs, have all accessible wiring connections been visually inspected ❑ ❑ E1 for kinks and breaks? ❑ Were all items on the equipment manufacturer's maintenance checklist completed? ❑ ❑ ❑ Were all LLDs confirmed operational within regulatory requirements? 0 ❑ ❑ LLD ID LLD Model Lines Monitored Pass Fail 87 99LD2000 87 LINES 0 ❑ 91 99LD2000 91 LINES 0 ❑ DSL 99LD2000 DSL LINES 0 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Describe all answers marked "No" or "Fail" and proposed remedy in Section 9. List all monitoring equipment either replaced or repaired in Section 9 Page 4 of 6