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Underground Storage Tank <br /> Monitoring System Certification Form <br /> 8. IN-TANK GAUGING TESTING <br /> ® Check this box if tank gauging is used only for inventory control. <br /> ❑ Check this box if NO tank gauging equipment is installed. Yes No NA <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 /> 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? I ❑ TffFz <br /> Probe /D Probe Model Tanks Monitored Pass Fail <br /> T-1 Diesel VR-Mag-1 T-1 Diesel ❑ ❑ <br /> T-2 87 VR-Mag-1 T-2 87 ❑ ❑ <br /> T-3 91 VR-Mag-1 T-3 91 ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> 9. COMMENTS <br /> Describe all answers marked "No"or "Fail"and proposed remedy. <br /> List all monitoring equipment either replaced or repaired. <br /> Notes: <br /> 1. Permitted repairs made on UDC #7-8 chains and floats. Verified functionality of chains <br /> and floats and all passed. <br /> 2. ATGs, tank sump / annular sensors, line leak detectors, UDC #1-2, UDC #3-4, UDC #5-6, <br /> and spill containers were not tested. Annual testing was performed last on 10/28/2024. <br /> Page 5of6 <br />