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Underground Storage Tank <br /> Monitoring System Certification Form <br /> 7. LINE LEAK DETECTOR TESTING <br /> ❑ Check this box if tine leak detectors ARE NOT installed. (Do not comp/ete this section.) <br /> Simulated release rate verified: (Check all that apply.) <br /> ® 3 GPH El 0.1 GPH 110.2 GPH Yes No NA <br /> Has the testing apparatus been properly calibrated? ® ❑ ❑ <br /> For emergency generator tank systems, does the LLD create an audible and visual El Elalarm when a leak is detected? <br /> For mechanical LLDs, does the LLD restrict the flow through the pipe when a ® El El <br /> is detected? <br /> For electronic LLDs, does the turbine automatically shut off when a release is El Eldetected? <br /> For electronic LLDs, does the turbine automatically shut off if any portion of the El ❑ <br /> monitoring system is disabled or disconnected? <br /> For electronic LLDs, does the turbine automatically shut off if any portion of the El Elmonitorin system malfunctions or fails a tightness 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 /> T1 VMI 99LD2000 87 PRODUCT ® ❑ <br /> T2 VMI 99LD2000 91 PRODUCT ® ❑ <br /> T3 VMI 99LD2000 DIESEL PRODUCT ® ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <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 />