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Underground Storage Tank <br /> Monitoring System Certification Form <br /> 7. LINE LEAK DETECTOR TESTING <br /> D Check this box if line leak detectors ARE NOT installed. (Do not complete this section.) <br /> Simulated release rate verified: (Check all that apply.) Yes No NA <br /> ® 3 GPH E 0.1 GPH D 0.2 GPH <br /> Has the testing apparatus been properly calibrated? 0 D D <br /> For emergency generator tank systems, does the LLD create an audible and visual D D <br /> alarm when a leak is detected? <br /> For mechanical LLDs, does the LLD restrict the flow through the pipe when a ® ❑ 0 <br /> release is detected? <br /> For electronic LLDs, does the turbine automatically shut off when a release is LI LI 0 <br /> detected? <br /> For electronic LLDs, does the turbine automatically shut off if any portion of the D D <br /> monitoring system is disabled or disconnected? <br /> For electronic LLDs, does the turbine automatically shut off if any portion of the ® D 0 <br /> monitoringsystem malfunctions or fails a tightness test? <br /> For electronic LLDs, have all accessible wiring connections been visually inspected ❑ J wl <br /> for kinks and breaks? <br /> Were all items on the equipment manufacturer's maintenance checklist completed? <br /> Were all LLDs confirmed operational within regulatory requirements? <br /> LLD ID LLD Model _ Lines Monitored Pass Fail <br /> T1 87 _ Vaporless LD-2000 _ — 87 product <br /> T2 91 Vaporless LD-2000 91 product C� <br /> T3 DSL Vaporless LD-2000 DSL product ® D <br /> 11 LI <br /> D D <br /> D D <br /> D D <br /> D D <br /> D D <br /> D D <br /> D D <br /> D D <br /> Describe all answers marked "No"or"Fail"and proposed remedy in Section 9. <br /> List all monitoring equipment either replaced or repaired in Section 9 <br /> Page 4 of 6 <br />