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Recommended Practices for the Testing and Verification of Spill, Overfill, Leak Detection and Secondary Containment Equipment at UST Facilities <br /> � • aofll Its] <br /> Facility Name: Owner: <br /> Address: Address: <br /> City, State, Zip Code : City, State, Zip Code: <br /> Facility I.D. #: Phone #: <br /> Testing Company: Phone #: Date : <br /> This procedure is to determine whether the high level alarm is operational and will trigger when the tank is no more than 90% full. <br /> See PEI R. P1200 Section 7.3 for the inspection procedure. This procedure is applicable to tank level monitor stems that touch the <br /> bottom of the tank when in place. <br /> Tank Number <br /> Product Stored <br /> Tank Level Monitor Brand and Model <br /> 1. Tank Volume, gallons <br /> 2. Tank Diameter, inches <br /> 3. Overfill alarm activates in the test mode at the p Yes ❑ No ❑ Yes ❑ No ❑ Yes ' ❑ No ❑ Yes ❑ No <br /> console? <br /> 4. When activated , overfill alarm can be heard or ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No <br /> seen while delivering to the tank? <br /> 5. After removing the probe from the tank, it has <br /> been inspected and any damaged or missing ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No <br /> parts replaced? <br /> 6. Float moves freely on the stem withoutbinding? ❑ Yes ❑ No ❑ Yes 11 No ❑ Yes ❑ No ❑ Yes � No <br /> 7. Moving product level float up the stem trigger <br /> Q Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No <br /> alarm? <br /> $. Inch level from bottom of stem when 90% alarm . <br /> is triggered . <br /> 9 . Tank volume at inch level in Line 8 , <br /> 10. Calculate (Line 9 / Line 1) x 100 <br /> 11. Is Line 10 less than 90%? ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No <br /> 12. Fuel float level on the console agrees with the ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes No <br /> gauge stick reading? <br /> 13 . Overfill alarm activates at any product level EJ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No <br /> above 90% tank capacity? <br /> If any answers in Lines 3 , 41 5, 6, 7 or 11 are " No," or Line 13 is "Yes," the system has failed the test. <br /> Test Results ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail <br /> Comments: <br /> Tester's Name ( print) Tester's Signature <br /> i <br /> pei.org <br /> i <br />