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Underground Storage Tank <br />Monitoring System Certification Form <br />8. IN-TANK GAUGING TESTING <br />box if tank gauging is used only for inventory control. <br />box if NO tank gauging equipment is installed. <br />complete this section if either box is checked.) <br />Yes No NA <br />Check this <br />s Check this <br />(Do not <br />All wiring has been: 1) visually inspected for kinks, breaks and proper entry and <br />termination; and 2) tested for ground faults? vü • <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? u v • <br />Was accuracy of system's product level readings tested? v El II <br />Was accuracy of system's water level readings tested? v • El <br />Were all probes reinstalled properly? v • El <br />Were all items on the equipment manufacturer's maintenance checklist completed? v • El <br />Probe ID Probe Model Tanks Monitored Pass Fail <br />Ti 847390-107/638026 UE058U002 SI El <br />on <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