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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. <br />Do not complete this section if either box is checked. <br />Yes <br />No <br />NA <br />All wiring has been: 1) visually inspected for kinks, breaks and proper entry and <br />termination; and 2 tested for ground faults? <br />❑✓ <br />❑ <br />❑ <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 />❑✓ <br />❑ <br />❑ <br />Was accuracy of system's product level readings tested? <br />✓❑ <br />❑ <br />❑ <br />Was accuracy of system's water level readings tested? <br />0 <br />❑ <br />❑ <br />Were all probes reinstalled properly? <br />0 <br />❑ <br />❑ <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />Q <br />❑ <br />1 ❑ <br />Probe ID <br />Probe Model <br />Tanks Monitored <br />Pass <br />Fail <br />TANK 1 <br />847390-107 <br />Regular <br />✓❑ <br />❑ <br />TANK 2 <br />847390-107 <br />Premium <br />❑✓ <br />❑ <br />TANK 3 <br />847390-107 <br />Diesel <br />❑✓ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />1 ❑ <br />9. COMMENTS <br />Describe all answers marked "No" or "Fail" and proposed remedy. <br />List all monitoring equipment either replaced or repaired. <br />(Permit Final) Start Up Verification Monitoring Certification Due to Removal of TLS350 and Installation of <br />TLS450+. Installed All New DLLD's - Tested & Passed. <br />Page 5 of 6 <br />