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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 /> 3 GPH 11 0 . 1 GPH 0 . 2 GPH <br /> Has the testing apparatus been properly calibrated ? ® Q <br /> For emergency generator tank systems , does the LLD create an audible and visual El <br /> alarm when a leak is detected ? <br /> For mechanical LLDs , does the LLD restrict the flow through the pipe when a <br /> release is detected ? <br /> For electronic LLDs , does the turbine automatically shut off when a release is <br /> detected ? <br /> For electronic LLDs , does the turbine automatically shut off if any portion of the rl <br /> monitoring system is disabled or disconnected ? <br /> For electronic LLDs , does the turbine automatically shut off if any portion of the <br /> monitorin system malfunctions or €ails a ti htness test? <br /> For electronic LLDs , have all accessible wiring connections been visually inspected <br /> for kinks and breaks? <br /> Were all items on the equipment manufacturer's maintenance checklist completed ? <br /> Were all LLDs confirmed operational within regulatory requirements ? <br /> LLD ID LLD Model Lines Monitored Pass Fail <br /> Ql 848480 87 Product El El <br /> Q2 848480 91 Product El El <br /> 03 848480 Diesel Product <br /> ri <br /> r El <br /> El rn <br /> El <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 /> Page 4 of 6 <br />