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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 />El <br />17 <br />F7 <br />termination; and 2 tested for ground faults? <br />Were all in -tank gauging probes visually inspected for damage and residue buildup <br />r <br />® <br />17 <br />to ensure that floats move freely, functionally tested, and confirmed operational? <br />Was accuracy of system's product level readings tested? <br />El <br />17 <br />17 <br />Was accuracy of system's water level readings tested? <br />r <br />El <br />r <br />Were all probes reinstalled properly? <br />1 17 <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />Probe ID Probe Model <br />Tanks Monitored <br />Pass <br />Fail <br />® <br />0 <br />a <br />9. COMMENTS <br />Describe all answers marked "No" or "Fail" and proposed remedy. <br />List all monitoring equipment either replaced or repaired. <br />Ne, A �D vehorl +z -h2,Mot6 oD+ �- av, A r c <br />MIll f�e�'v►.2+n -h� i2.e��' oYu.�a,2c GLr� lov►��Ol.d <br />Page 5 of 6 <br />