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Underground Storage Tank <br /> Monitoring System Certification Form <br /> 7. LINE LEAK DETECTOR TESTING <br /> L1 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 /> A 3 GPH L 0.1 GPH Ll 0.2 GPH <br /> Has the testing apparatus been properly calibrated? A D E] <br /> For emergency generator tank systems, does the LLD create an audible and visual <br /> alarm when a leak is detected? <br /> For mechanical LLDs, does the LLD restrict the how through the pipe when a El <br /> release is detected? <br /> For electronic LLDs, does the turbine automatically shut of(when a release is ® Ll Li <br /> detected? <br /> For electronic LLDs, does the turbine automatically shut off if any portion of the a Lj Ll <br /> monitoring system is disabled or disconnected? <br /> For electronic LLDs, does the turbine automatically shut off if any portion of the ® Ll Ll <br /> monitoring system malfunctions or fails a tightness test? <br /> For electronic LLDs, have all accessible wiring connections been visually inspected ® Ll Li <br /> for kinks and breaks? <br /> Were all items on the equipment manufacturer's maintenance checklist completed? ® Ll Ll <br /> Were all LLDs confirmed operational within regulatory requirements? 0 Ll L) <br /> LLD ID LLD Model Limes Monitored Pass Fail <br /> Q1 848480-001 REG.PROD.LINE 0 Ll <br /> Q2 848480-001 SUP.PROD.LINE 0 <br /> Ll Ll <br /> Ll Ll <br /> Ll Ll <br /> Li Li <br /> L) L) <br /> U L) <br /> Ll L) <br /> Ll Ll <br /> L1 0 <br /> ® L1 <br /> Describe all answers marked "No"or"Fail"and proposed remedy+'r Section 9. <br /> List all monitoring equipment either replaced or repaired in Section 9 <br /> Page 4 of 6 <br />