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Underground Storage Tank Monitoring System Certification Form 7. LINE LEAK DETECTOR TESTING ❑ Check this box if line leak detectors ARE NOT installed. (Do not complete this section.) Simulated release rate verified: (Check all that apply.) A 3 GPH ❑ 0.1 GPH ❑ 0.2 GPH Yes No NA Has the testing apparatus been properly calibrated? A J J For emergency generator tank systems, does the LLD create an audible and visual alarm when a leak is detected? D Ll R) For mechanical LLDs, does the LLD restrict the flow through the pipe when a release is detected? 0 Lj Q For electronic LLDs, does the turbine automatically shut off when a release is detected? ❑ Ll 0 For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? Q Q For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a tightness test? Ll J Q For electronic LLDs, have all accessible wiring connections been visually inspected for kinks and breaks? Ll ❑ V1 Were all items on the equipment manufacturer's maintenance checklist completed? A L] ❑ Were all LLDs confirmed operational within regulatory requirements? 0 J D LLD ID LLD Morel Lines Monitored Pass Fail T1 Vaporless LD -2000 RUL PROD. LINE R1 Lj T2 Vaporless LD -2000 PUL. PROD. LINE 0 ❑ ❑ ❑ Q Q ❑ Q ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Q Q Describe all answers marked "No" or `Fail" and proposed remedy in Secrlon 9. List all monitoring equipment either replaced or repaired in Section 9 Page 4 of 6