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Underground Storage Tank <br /> Monitoring System Certification Form <br /> 7. LINE LEAK DETECTOR TESTING <br /> LJ 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 /> R] 3 GPH L 0.1 GPH LJ 0.2 GPH <br /> Has the testing apparatus been properly calibrated? A LA ❑ <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 flaw through the pipe when a ❑ <br /> release is detected? <br /> For electronic LLDs, does Une turbine automatically shut off when a release is ❑ ❑ A <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 efectronic LLDs, does the turbine automatically shut off if any portion of the ❑ ❑ <br /> monitoring system malfunctions or fails a tightness test? <br /> Fbr electronic LLDs, have all accessible wiring connections been visually inspected ❑ ❑ 121 <br /> for kinks and breaks? <br /> Were all items on the equipment manufacturer's maintenance checklist completed? 21 ❑ ❑ <br /> Were all LLDs confirmed operational within regulatory requirements? � � ❑ <br /> LLD ID LLD Model Limas Monitored Pass Fail <br /> T1 Vaporless LD-2000 REG. PROD. LINE A LD <br /> T2 Vaporless LD-2000 PREM. PROD. LINE A Lj <br /> T3 Vaporless LD-2000 DSL PROD. LINE 21 ❑ <br /> ❑ Q <br /> Q Q <br /> ❑ ❑ <br /> LA <br /> ❑ J <br /> ❑ ❑ <br /> ❑ J <br /> ❑ ❑ <br /> Describe all answers marked "No or "Fail"and proposer! remedy in Section 9. <br /> List afl monitoring equipment either replaced or repaired in Section 9 <br /> Page 4 of 6 <br />