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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. Yes No 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 /> termination; and 2 tested for ground faults? <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 /> Was accuracy of system's product level readings tested? ✓❑ ❑ ❑ <br /> Was accuracy of system's water level readings tested? ✓❑ ❑ ❑ <br /> Were all probes reinstalled properly? I ❑ ❑ <br /> Were all items on the equipment manufacturer's maintenance checklist completed? ✓ ❑ ❑ <br /> Probe ID Probe Model Tanks Monitored Pass Fail <br /> T1 Vr 846390-109 Regular ❑✓ ❑ <br /> T2 Vr 846390-109 Premium ❑✓ ❑ <br /> T3 Vr 847390-109 Diesel ✓❑ ❑ <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 /> E-Stops Tested&Passed. <br /> Shear Valves Tested &Passed. <br /> Replaced TLS Battery for PM Purposes. <br /> Replaced (Q1) Regular South Siphon Jet-Purged&Retested &Passed. <br /> Wiped Down Residue from Dispenser 3&4 and 19&20. <br /> Page 5 of 6 <br />