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Underground Storage Tank <br />Monitoring System Certification Form <br />8. IN -TANK GAUGING TESTING <br />❑ Check this box if tank gauging is used only for inventory control. <br />❑ Check this box if NO tank gauging equipment is installed. <br />Yes <br />No <br />NA <br />Do not complete this section if either box is checked. <br />All wiring has been: 1) visually inspected for kinks, breaks and proper entry and <br />❑ <br />❑ <br />❑ <br />termination; and 2 tested for ground faults? <br />Were all in -tank gauging probes visually inspected for damage and residue buildup <br />® <br />❑ <br />❑ <br />to ensure that floats move freely, functionally tested, and confirmed operational? <br />Was accuracy of system's product level readings tested? <br />❑ <br />❑ <br />❑ <br />Was accuracy of system's water level readings tested? <br />❑ <br />❑ <br />❑ <br />Were all probes reinstalled properly? <br />❑ <br />❑ <br />❑ <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />El <br />El <br />El <br />Probe ID <br />Probe Model <br />Tanks Monitored <br />Pass <br />Fail <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />9. COMMENTS <br />Describe all answers marked "No" or "Fail" and proposed remedy. <br />List all monitoring equipment either replaced or repaired. <br />UJO e2 <br />WAR5r� ��' U rkR�cO Ute- V A 6 [,- OA'T - <br />�V�iUFAT:99oR- <br />Page 5 of 6 <br />