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f� PEI(RP1200-17 <br /> OPERATIONAPPENDIX C-7 <br /> AUTOMATIC TANK GAUGE <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 automatic tank guage(ATG)is operating properly.See PEVRP1200 Section 8.2 for the <br /> inspection procedure. This procedure is applicable to tank level monitor stems that touch the bottom of the tank when in place. <br /> Tank Number <br /> Product Stored <br /> ATG Brand and Model <br /> 1.Tank Volume,gallons <br /> 2.Tank Diameter,inches <br /> 3.After removing the ATG 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 /> 4.Float moves freely on the stem without ❑Yes ❑No ❑Yes ❑No ❑Yes ❑No ❑Yes ❑No <br /> binding? <br /> 5.Fuel float level agrees with the value pro- ❑Yes ❑No ❑Yes ❑No ❑Yes ❑No ❑Yes ❑No <br /> grammed into the console? <br /> 6.Water float level agrees with the value pro- ❑Yes ❑No ❑Yes ❑No []Yes ❑No ❑Yes ❑No <br /> grammed into the console? <br /> 7.Inch level from bottom of stem when 90% <br /> alarm is triggered. <br /> 8.Inch level at which the overfill alarm activates <br /> corresponds with value programmed in the ❑Yes ❑Nc ❑Yes ❑No ❑Yes ❑No ❑Yes ❑No <br /> gauge? <br /> 9.Inch level from the bottom when the water <br /> float first triggers an alarm. <br /> 10. Inch level at which the water float alarm acti- <br /> vates corresponds with value programmed in ❑Yes ❑No ❑Yes ❑No ❑Yes ❑No ❑Yes ❑No <br /> the gauge? <br /> If any answers in Lines 3,4, 5,or 6 are"No,"the system has failed the test. <br /> Test Results ❑Pass ❑Fail ❑Pass ❑Fail 1 ❑Pass ❑Fail 1 ❑Pass ❑Fail <br /> Comments: <br /> Tester's Name(print) Tester's Signature <br /> 0 pei.org <br />