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Underground Storage Tank <br /> Monitoring System Certification Form <br /> 7. LIME LEAK DETECTOR TESTING <br /> 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 /> GPH Ej 0A GPH 0 0.2 GPH <br /> Has the testing apparatus been properly calibrated? ❑ a ❑ <br /> For emergency generator tank systems, does the LLD create an audible and visual © ❑ f1 <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 ® ❑ <br /> mon ito ri nq s stem is disabled or disconnected? <br /> Far electronic LLDs, noes the turbine automatically smut off if any portion of the ❑ <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? ❑� ® ❑ <br /> Were all LLDs confirmed operational within regulatory requirements? ® ❑ <br /> LLD ID LLD Model Lines Monitored Pass Fart <br /> T3 VIVA LD 000 Diesel ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ <br /> ❑ <br /> ❑ <br /> ❑ ❑ <br /> ❑ <br /> Describe all answers marked 'W or rcFaif"and proposed remedy in Section 9, <br /> List all monitoring equipment either replaced or repaired in Section 9 <br /> Page 4 of 6 <br />