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Underground Storage Tank <br /> Monitoring System Certification Form <br /> 7. LINE LEAK DETECTOR TESTING <br /> Q Check this box if line leak detectors ARE NOT installed. (Do not complete this section.) <br /> Simulated release rate verified: (Check all that apply.) Yes No NA <br /> PI 3 GPH 17 0.1 GPH E 0.2 GPH <br /> Has the testing apparatus been properly calibrated? ® ® r <br /> For emergency generator tank systems, does the LLD create an audible and visual ® ® V <br /> alarm when a leak is detected? <br /> For mechanical LLDs, does the LLD restrict the flow through the pipe when a P1 17 17 <br /> release is detected? <br /> For electronic LLDs, does the turbine automatically shut off when a release is r <br /> r Pi <br /> detected? <br /> For electronic LLDs, does the turbine automatically shut off if any portion of the ri 17 V <br /> monitoring system is disabled or disconnected? <br /> For electronic LLDs, does the turbine automatically shut off if any portion of the F7 17 Fn <br /> monitoring system malfunctions or fails a tightness test? <br /> For electronic LLDs, have all accessible wiring connections been visually inspected 07 <br /> for kinks and breaks? <br /> Were all items on the equipment manufacturer's maintenance checklist completed? ® ri <br /> Were all LLDs confirmed operational within regulatory requirements? P1 F7 rl <br /> LLD ID LLD Model Lines Monitored Pass Fail <br /> TFUG01 99LD-2000 Unleaded TFUG01 19 17 <br /> ® r <br /> ® r7 <br /> 17 In <br /> r <br /> Tr In <br /> ® In <br /> r r <br /> ri 97 <br /> 17 97 <br /> ® I In <br /> 17 <br /> Describe all answers marked "No"or"Fail"and proposed remedy in Section 9. <br /> List all monitoring equipment either replaced or repaired in Section 9 <br /> 4 <br /> Page 4 of 6 <br />