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Underground Storage Tank Monitoring System Certification Form 7. LINE LEAK DETECTOR TESTING LJ Check this box if line leak detectors ARE NOT installed. (Do not complete this section.) Simulated release rate verified: {Check all that apply.} A 3 GPH EJ 0.1 GPH ❑ 0.2 GPH Yes No NA Has the testing apparatus been properly calibrated? A ❑ ❑ For emergency generator tank systems, does the LLD create an audible and visual alarm when a leak is detected? ❑ ❑ For mechanical LLDs, does the LLD restrict the flaw through the pipe when a release is detected? For electronic LLDs, does the turbine automatically shut off when a release is detected? A ❑ ❑ ❑ ❑ 0 For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? ❑ ❑ ❑ For electronic LLDs, does the turbine automatically shut off if any portion of the mon itoririg system malfunctions or fails a tightness test? ❑ ❑ ❑ For electronic LLDs, have all accessible wiring connections been visually inspected for kinks and breaks? ❑ ❑ 71 Were all items an 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 DSL FE Petro MLD DSL PROD. RI ❑ H -FLOW j Vaporless LD -3000 HIGH FLOW PROD. [� ❑ ❑ ❑ Q ® Q ❑ ❑ ❑ LA ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Q Describe all answers marked "No" or `Fail" and proposed remedy in Secrion 9. List all monitoring equipment either replaced or repaired in Section 9 Page 4 of 6