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Underground Storage Tank <br />Monitoring System Certification Form <br />8. IN -TANK GAUGING TESTING <br />® Check this box if in -tank gauging is used only for inventory control. <br />❑ Check this box if NO tank gauging equipment is installed. <br />(Do not complete this section if either box is checked.) <br />Yes <br />No <br />NA <br />All wiring has been: 1) visually inspected for kinks, breaks and proper entry and <br />termination; and 2) tested for ground faults <br />❑ <br />❑ <br />❑ <br />Were all in -tank gauging probes visually inspected for damage and residue buildup <br />to ensure that floats move freely, functionally tested, and confirmed operational? <br />❑ <br />❑ <br />❑ <br />Was accuracy of system's product level readings tested? <br />❑ <br />❑ <br />❑ <br />Was accuracy of system's water level readings tested? <br />❑ <br />❑ <br />❑ <br />Were all probes reinstalled properly? <br />❑ <br />❑ <br />❑ <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />❑ <br />❑ <br />❑ <br />Probe ID <br />Probe Model <br />Tank Monitored <br />Pass <br />Fail <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />9. COMMENTS <br />8/24/2021 - S6 (91 vent) smart sensor float switch inop. Will need to return with new 464 Sensor, <br />replace and retest. <br />9/9/2021 - Replaced S6 sensor. Retested, passed. <br />Page 7 of 9 <br />