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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 />(Do not complete this section if either box is checked.) <br />Yes <br />No <br />NA <br />All wiring has been: 1) visually inspected for kinks, breaks and proper entry and <br />termination; and 2 tested for ground faults? <br />❑ <br />❑ <br />❑ <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 />❑ <br />❑ <br />❑ <br />Was accuracy of system's product level readings tested? <br />❑ <br />❑ <br />❑ <br />Was accuracy of system's water level readings tested? <br />❑ <br />❑ <br />❑ <br />Were all probes reinstalled properly? <br />❑ <br />❑ <br />❑ <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />I ❑ <br />I ❑ <br />❑ <br />Probe ID <br />Probe Model <br />Tanks Monitored <br />Pass <br />Fail <br />T1 DSL <br />Mag 1 <br />AST Diesel Tank <br />❑ <br />❑ <br />T2 DSL <br />Mag 1 <br />UST Diesel Tank <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />Page 5 of 6 <br />