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<br />Underground Storage Tank <br />Monitoring System Certification Form <br /> <br /> <br />Page 5 of 6 <br /> <br /> <br />8. IN-TANK GAUGING TESTING <br /> <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 No 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 />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 />Was accuracy of system’s product level readings tested? ☐☐☐☐ ☐☐☐☐ ☐☐☐☐ <br />Was accuracy of system’s water level readings tested? ☐☐☐☐ ☐☐☐☐ ☐☐☐☐ <br />Were all probes reinstalled properly? ☐☐☐☐ ☐☐☐☐ ☐☐☐☐ <br />Were all items on the equipment manufacturer’s maintenance checklist completed? ☐☐☐☐ ☐☐☐☐ ☐☐☐☐ <br /> <br />Probe ID Probe Model Tanks Monitored Pass Fail <br /> ☐☐☐☐ ☐☐☐☐ <br /> ☐☐☐☐ ☐☐☐☐ <br /> ☐☐☐☐ ☐☐☐☐ <br /> ☐☐☐☐ ☐☐☐☐ <br /> ☐☐☐☐ ☐☐☐☐ <br /> ☐☐☐☐ ☐☐☐☐ <br /> <br />9. COMMENTS <br /> <br />Describe all answers marked “No” or “Fail” and proposed remedy. <br />List all monitoring equipment either replaced or repaired. <br />Inspector on site. <br />