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ty Underground Storage Tank <br /> Y <br /> Monitoring System Certification Form <br /> g. IN-TANK GAUGING TESTING <br /> p Check this box if tank gauging is used only for inventory control. Yes No NA <br /> ❑ Chec:k this box if NO tank gauging equipment is installed. <br /> (Do not complete this section if either box is checked.) <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 /> C to ensure that floats move freely, functionally tested, and confirmed operational? <br /> Was accuracy of system's product level readings tested? ❑ El ❑ <br /> CWas accuracy of system's water level readings tested? <br /> or, Were all probes reinstalled properly? ❑ ❑ ❑ <br /> `a 0 Were all items on the equipment manufacturer's maintenance checklist completed? ❑ ❑ ❑ <br /> bra'%r Probe ID Probe Model Tanks Monitored Pass Fail <br /> 1g 2, ❑ ❑ <br /> vid � <br /> ,-act ❑ ❑ <br /> Ur ❑ ❑ <br /> 9. COMMENTS <br /> Describe all answers marked "No"or"Fail"and proposed remedy. <br /> List all monitoring equipment either replaced or repaired. <br /> WATER FOUND IN FILL SUMPS <br /> Page 5 c <br />