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Underground Storage Tank <br />Monitoring System Certification Form <br />8. IN -TANK GAUGING TESTING <br />Ll Check this box if tank gauging is used only for inventory control. <br />LJ Check this box if No tank gauging equipment is installed. <br />Do not complete this section if either box is checked. <br />Yes <br />No <br />NA <br />All wiring has been: 1 j visually inspected for kinks, breaks and proper entry and <br />termination; and 2 tested for ground faults? <br />® <br />❑ <br />❑ <br />Were afl in -tank gauging probes visually inspected for damage and residue buildup <br />to ensure that floats move free! . functional!y tested. and confirmed o erationaI? <br />❑ <br />❑ <br />❑ <br />Was accuracy of system's product level readings tested? <br />0 <br />❑ <br />❑ <br />Was accuracy of system's water level readings tested? <br />® <br />❑ <br />❑ <br />Were all probes reinstalled properly? <br />z <br />❑ <br />❑ <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />❑ <br />❑ <br />Probe ID <br />Probe Model <br />Tanks Monitored <br />Pass <br />Fail <br />T1 <br />847390-109 <br />RUL. PROBE <br />0 <br />Li <br />T2 <br />847390-109 <br />PUL. PROBE <br />01 <br />Q <br />❑ <br />❑ <br />❑ <br />Lj <br />I❑ <br />Ii <br />I❑ <br />I❑ <br />9. COMMENTS <br />Describe all answers marked "No" or ''Fail" and proposed remedy. <br />List all monitoring equipment either replaced or repaired. <br />Page 5 of 6 <br />