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Underground Storage Tank <br /> Monitoring System Certification Form <br /> 7. LINE LEAK DETECTOR TESTING <br /> C 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 /> 0- 3 GPH LJ 0.1 GPH LJ 0.2 GPH <br /> Has the testing apparatus been properly calibrated? 0 J Lj <br /> For emergency generator tank systems, does the LLD create an audible and visual Ell <br /> alarm when a leak is detected? <br /> For mechanical LLDs, does the LLD restrict the flow through the pipe when a ® ❑ Q <br /> release is detected? <br /> For electronic LLDs, does the turbine automatically shut off when a release is ® Ll 0 <br /> detected? <br /> For electronic LLDs, does the turbine automatically shut off if any portion of the Ll J <br /> monitoring system is disabled or disconnected? <br /> For electronic LLDs, does the turbine automatically shut off if any portion of the J ❑ <br /> monitoring.system malfunctions or fails a ti htq ness test? <br /> For electronic LLDs, have all accessible wiring connections been visually inspected <br /> for kinks and breaks? <br /> Were all items on the equipment manufacturer's maintenance checklist completed? 0 J i Lj <br /> Were all LLDs confirmed operational within regulatory requirements? 0 J D <br /> LLD ID LLD Model Lines Monitored Pass Fail <br /> T3 Vaporless LD-2000 RUL. PROD.LINE <br /> T4 Vaporless LD-2000 PUL. PROD. LINE <br /> T5 Vaporless LD-2000 DSL PROD. LINE Lj I <br /> u Lj <br /> D <br /> J J <br /> j D <br /> D J <br /> - — J D <br /> J Li <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 />