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Underground Storage Tank <br />Monitoring System Certification Forth <br />7. LINE LEAK DETECTOR TESTING <br />this r iox if line leak detectors ARE FIAT installed. (Do not complete this section.) <br />Simulated release rate verified: (Chec% all that apply.) <br />E3 3 GPH 0 01 GPH rl 0.2 GPH <br />Has the testing apparatus been properly calibrated? <br />Yes <br />® <br />No <br />❑ <br />NA <br />❑ <br />For emergency generator tank systems, does the LLD create an audible and visual <br />atarm when a leak is detected? <br />❑ <br />� <br />❑ <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 as <br />detected? <br />® <br />11 <br />r] <br />For electronic LLDs, does the turbine automatically shut off if any portion of the <br />mondoring system is disabled or disconnected? <br />❑ <br />❑ <br />For electronic LLDs, does the turbine automatically shut: off if any portion of the <br />monitoring system rnaftnctions or fails a t htness test? <br />For electronic LLDs, have all accessible wiring connections been visually inspected <br />for kinks and breaks? <br />® <br />❑ <br />❑ <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />� <br />❑ <br />❑ <br />Were all LLDs confirmed operational within regulatory requirements? <br />LLD ID LLD Morel Liras Monitored <br />all 8484 87 <br />❑ ❑ <br />Pass <br />� <br />Fail <br />Q2 <br />8484 <br />91 <br />E) <br />a <br />3 <br />8484 <br />DSL <br />El <br />❑ <br />El❑ <br />i <br />® <br />❑ <br />E] <br />❑ <br />❑ <br />❑ <br />❑ <br />Describe all answers marked 'No" or "Feil" and proposed remedy in Section 9. <br />List all monitoring equipment either replaced or repaired in section 9 <br />Page 4 of 6 <br />