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Underground Storage Tank <br /> Monitoring System Certification Form <br /> 7. LINE LEAK DETECTOR TESTING <br /> Ll 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 1A <br /> 0 3 GPH L 0.1 GPH LJ 0.2 GPH <br /> Has the testing apparatus been properly calibrated? 0 D Ell <br /> For emergency generator tank systems, does the LLD create an audible and visual LA J 0 <br /> alarm when a leak is detected? <br /> For mechanical LLDs, does the LLD restrict the flow through the pipe when a <br /> release is detected? <br /> For electronic LLDs, does the turbine automatically shut off when a release is 0 Li Lj <br /> detected? <br /> For electronic LLDs, does the turbine automatically shut off if any portion of the <br /> monitoring system is disabled or disconnected"? <br /> For electronic LLDs, does the turbine automatically strut off if any portion of the 0 Lj Ll <br /> monitoring system malfunctions or fails a tightness test? <br /> For electronic LLDs, have all accessible wiring connections been visually inspected 0 Ll El <br /> for kinks and breaks? <br /> Were all items on the equipment manufacturer's maintenance checklist completed? 0 L3 Ll <br /> Were all LLDs confirmed operational within regulatory requirements? 0 E-) Ell <br /> LLD ID LLD Model Lines Monitored Pass Fail <br /> Q1 848480-001 REG. PROD. LINE R) Li <br /> Q2 848480-001 PREM. PROD. LINE 0 L) <br /> Q4 848480-001 DSL PROD. LINE ® Li <br /> Li Ll <br /> Il Li <br /> ® li <br /> Ll D <br /> J Lj <br /> D Ij <br /> Ll Lj <br /> Li D <br /> Ll El <br /> Describe ail answers marked "'No"or "Fail"'and proposed remedy in Section 9. <br /> List afl monitoring equipment either replaced or repaired in Section 9 <br /> Page 4 of 6 <br />