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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 /> A 3 GPH 11 0.1 GPH El 0.2 GPH <br /> Has the testing apparatus been properly calibrated? A EJ J <br /> For emergency generator tank systems, does the LLD create an audible and visual D E R) <br /> alarm when a leak is detected? <br /> For mechanical LLDs, does the LLD restrict the flow through the pipe when a Li Ll <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 /> monitoring system is disabled or disconnected? <br /> For electronic LLDs, does the turbine automatically shut off if any portion of the ® J Li <br /> monitorincsystem malfunctions or fails a tightness test? <br /> For electronic LLDs, have all accessible wiring connections been visually inspected 23 <br /> for kinks and breaks? <br /> Were all items an the equipment manufacturer's maintenance checklist completed? A L) Ll <br /> Were all LLDs confirmed operational within regulatory requirements? <br /> LLD ID LLD Model Lines Monitored Pass Fail <br /> Q1 848480-001 SUP PROD. LINE RI Li <br /> Q2 848480-001 REG PROD. LINE [� <br /> Q3 848480-001 DSL PROD. LINE ® Q <br /> Ll Li <br /> Il Q <br /> Ll Ij <br /> L] D <br /> 2 D <br /> D <br /> Ll Q <br /> ❑1 Q <br /> Describe all answers marked "No"or `Fail"and proposer!remedy in Secrlon 9. <br /> List all monitoring equipment either replaced or repaired irr Section 9 <br /> Page 4 of 6 <br />