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Underground Storage Tank <br />Monitoring System Certification Form <br />8. IN -TANK GAUGING TESTING <br />Z 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 />11 <br />L-3 <br />J <br />Were all in -tank gauging probes visually inspected for damage and residue buildup <br />to ensure that floats move freely, functionally tested, and confirmed operational? <br />z <br />Li <br />Ll <br />Was accuracy of system's product level readings tested? <br />A <br />Ll <br />Lj <br />Was accuracy of system's water level readings tested? <br />23 <br />Ll <br />L2 <br />Were all probes reinstalled properly? <br />2) <br />Ll <br />Ll <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />R) <br />I A <br />I L-1 <br />Probe ID <br />Probe Model <br />Tanks Monitored <br />Pass Fail <br />T4 <br />846391-304 <br />reg <br />T5 <br />846391-304 <br />sup <br />D <br />Il D <br />Q Lj <br />Q Il <br />Page 5 of 6 <br />