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Underground Storage Tank <br />Monitoring System Certification Form <br />S. IN -TANK GAUGING TESTING <br />E) Check this box if tank gauging is used only for inventory control, <br />El Check this box if NO tank gauging equipment is installed, <br />o not coTplete this section if either box is checked, j <br />All wiring has been: 1) visually inspected for kinks, breaks and proper entry and <br />termination, and tested for ground faults? <br />Were all in -tank gauging probes visually inspected for damage and residue buildup <br />to ensure that floats move free l , functionally tested. and confirmed a p eration aI? <br />Yes <br />No <br />NA <br />� <br />� <br />❑ <br />❑ <br />Was accuracy of system's product level readings tested? _-- <br />❑ <br />❑ <br />❑ <br />❑ <br />Was accuracy of system's water level readings tested? <br />❑ <br />❑ <br />fere all probes reinstalled properly? <br />� <br />❑ <br />❑ <br />Were all items on the equipment manufacturer's <br />maintenance checklist completed? <br />❑ <br />67 <br />'robe !D <br />Probe Model <br />Tanks Monitored <br />Pass <br />Fail <br />❑ <br />❑ <br />17 <br />rl <br />-- <br />❑ <br />❑ <br />❑ <br />❑ <br />9. MMENTS <br />d Describe al/ answers marked "No" or "Fart" and proposed remedy. - <br />List all monitoring equipment either replaced or repaired. <br />Page 5 of <br />