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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.) Yes No NA ❑] 3 GPH ❑ 0.1 GPH ❑ 0.2 GPH Diesel Supply 0 ❑ Has the testing apparatus been properly calibrated? ❑ ❑ For emergency generator tank systems, does the LLD create an audible and ❑ ❑ visual alarm when a leak is detected? ❑ For mechanical LLDs, does the LLD restrict the flow through the pipe when a ❑ ❑ F✓ release is detected? ❑ ❑ For electronic LLDs, does the turbine automatically shut off when a release is ❑ ❑ detected? For electronic LLDs, does the turbine automatically shut off if any portion of the �✓ ❑ ❑ monitoring system is disabled or disconnected? ❑ ❑ For electronic LLDs, does the turbine automatically shut off if any portion of the ❑ ❑ monitoring system malfunctions or fails a tightness test? ❑ For electronic LLDs, have all accessible wiring connections been visually ❑ ❑ inspected for kinks and breaks? ❑ Were all items on the equipment manufacturer's maintenance checklist L�E] ❑ ❑ completed? Were all LLDs confirmed operational within regulatory requirements? ❑ ❑ LLD ID LLD Model Lines Monitored Pass Fail Diesel TS -LSU -500 Diesel Supply 0 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ L�E] Describe all answers marked "No" or "Fail" and proposed remedy in Section 9. List all monitoring equipment either replaced or repaired in Section 9 Page 4 of 16