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Underground Storage Tank <br /> Monitoring System Certification Form <br /> 7. LINE LEAK DETECTOR TESTING <br /> LJ 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 /> Ll 3 GPH L 0.1 GPH LJ 6.2 GPH <br /> Has the testing apparatus been properly calibrated? D J Lj <br /> For emergency generator tank systems, does the LLD create an audible and visual LA LA IJ <br /> alarm when a leak is detected? <br /> For mechanical LLDs., does the LLD restrict the flow through the pipe when a LI LI El <br /> release is detected? <br /> For efectronic LLDs, does the turbine automatically shit off when a release is LI L <br /> detected? <br /> For efectronic LLDs, does the turbine automatically shut off if any portion of the <br /> mon ito-ring system is disabled or disconnected? <br /> For electronic LLDs, does the turbine automatically shut off if any portion of the LI Li lI <br /> _monitoring system malfunctions or fails a tightness test? <br /> For electronic LLDs, have all accessible wiring connections been visually inspected Li Li Li <br /> for kinks and breaks? <br /> Were all items on the equipment manufacturer's maintenance checklist completed? L, L, L, <br /> Were all LLDs confirmed operational within regulatory requirements? LI, A LI <br /> LLD !D LLD Model Lines Monitored Pass Fail <br /> Ell LI <br /> LI L2 <br /> ❑J LI <br /> Q Li <br /> El LI <br /> LI Li <br /> j El <br /> Describe all answers marked "No"or Fail"and proposed remedy in SeC60n 9. <br /> List all monitoring equipment either replaced or repaired in Section 9 <br /> Page 4 of 6 <br />