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Underground Storage Tank <br /> Monitoring System Certification Form <br /> 8. IN-TANK GAUGING TESTING <br /> ® Check this box if tank gauging is used only for inventory control. <br /> ❑ Check this box if NO tank gauging equipment is installed. Yes No NA <br /> Do not complete this section if either box is checked. <br /> All wiring has been: 1) visually inspected for kinks, breaks and proper entry and ❑ ❑ ❑ <br /> termination; and 2 tested for ground faults? <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 /> Was accuracy of system's product level readings tested? ❑ ❑ ❑ <br /> Was accuracy of system's water level readings tested? ❑ ❑ ❑ <br /> Were all probes reinstalled properly? ❑ ❑ ❑ <br /> Were all items on the equipment manufacturer's maintenance checklist completed? ❑ I ❑ ❑ <br /> Probe ID Probe Model Tanks Monitored Pass Fail <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> 9. COMMENTS <br /> Describe all answers marked "No"or "Fail"and proposed remedy. <br /> List all monitoring equipment either replaced or repaired. <br /> This Monitor Certification was for the Dispenser Installation and <br /> Veeder-Root Software Upgrade Only <br /> This Monitor Certification DOES NOT change there Annual Monitor Cert. Date <br /> MLLD's were not Tested on this Monitor Cert. <br /> Tested Fail Safe and Sensor out for proper Function <br /> Tested ESO for proper Function <br /> 87 Tank #2 and #3 - Product Lines are Manifolded in the Dispensers <br /> Page 5 of 6 <br />