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Underground Storage Tank Monitoring System Certification Form 7. LINE LEAK DETECTOR TESTING ❑ Check this box if line leak detectors ARE NOT installed. (Do not complete this section.) Simulated release rate verified: (Check all that apply.) ✓❑ 3 GPH ❑ 0.1 GPH ❑ 0.2 GPH Yes No NA Has the testing apparatus been properly calibrated? 0 ❑ ❑ For emergency generator tank systems, does the LLD create an audible and visual alarm when a leak is detected? ❑ ❑ 0 For mechanical LLDs, does the LLD restrict the flow through the pipe when a release is detected? ✓D ❑ 0 For electronic LLDs, does the turbine automatically shut off when a release is detected? ❑ ❑ 0 For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? ❑ ❑ 0 For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a tightness test? ❑ ❑ 0 For electronic LLDs, have all accessible wiring connections been visually inspected for kinks and breaks? ❑ ❑✓❑ ❑ Were all items on the equipment manufacturer's maintenance checklist completed? 0 ❑ ❑ Were all LLDs confirmed operational within regulatory requirements? 0 ❑ ❑ LLD ID LLD Model Lines Monitored Pass Fail 87 VMI / 99 LD 2000 87 PRODUCT LINE 0 ❑ 91 VMI / 99 LD 2000 91 PRODUCT LINE 0 ❑ DIESEL VMI / 99 LD 2000 DIESEL PRODUCT LINE 0 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Describe all answers marked "No" or "Fail" and proposed remedy in Section 9. List all monitoring equipment either replaced or repaired in Section 9 Page 4 of 6