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Underground Storage Tank <br /> Monitoring System Certification Form <br /> T_ LINE LEAK DETECTOR TESTING <br /> L7 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 NA <br /> rl 3 GPH ® 0.1 GPH 0.2 GPH <br /> Has the testing apparatus been properly calibrated? <br /> For emergency generator tank systems, does the LLD create an audible and visual <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 <br /> detected? <br /> For electronic LLDs, does the turbine automatically shut off if any portion of the ® ® ri <br /> monitoring system is disabled or disconnected? <br /> For electronic LLDs, does the turbine automatically shut off if any portion of the ® ® r <br /> monitoring system malfunctions or fails a tightness test? <br /> For electronic.LLDs, have all accessible wiring connections been visually inspected <br /> for kinks and breaks? <br /> Were all items on the equipment manufacturer's maintenance checklist completed? in In rl <br /> Were all LLDs confirmed operational within regulatory requirements? <br /> LLD ID LLD Model Lines Monitored Pass Fail <br /> ri <br /> r El <br /> Describe all answers marked Wo"or"Fair and proposed remedy in Section 9. <br /> List all monitoring equipment either replaced or repaired in Section 9 <br /> 4 <br /> Page 4 of 6 <br />