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Underground Storage Tank <br /> Monitoring System Certification Form <br /> 7. LINE LEAK DETECTOR TESTING <br /> LFj Check this box if line leak detectors ARE NOT installed. (Do not complete this section.) <br /> Simulated release rate verified: (Check all that apply.) <br /> EZ 3 GPH F7, 0.1 GPH L 0.2 GPH Yes No NA <br /> Has the testing apparatus been properly calibrated? E r <br /> For emergency generator tank systems, does the LLD create an audible and visual <br /> alarm when a leak is detected? E7 <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 is <br /> detected? 7 M 77 <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 <br /> -- <br /> monitoring system malfunctions or fails a tightness test? <br /> For electronic LLDs, have all accessible wiring connections been visually inspected <br /> for kinks and breaks? <br /> Were all items on the equipment manufacturer's maintenance checklist completed? F xl ( I <br /> Were all LLDs confirmed operational within regulatory requirements? rx I E7 <br /> LLD ID LLD Model Lines Monitored Pass Fail <br /> T1-87 VMI 99LD2000 87 Product Line <br /> T2-91 VMI 99LD2000 91 Product Line x I f <br /> T3-Diesel VMI 99LD2000 Diesel Product Line <br /> °-- <br /> r <br /> 17 <br /> Describe all answers marked "No"or "Fail"and proposed remedy in Section 9. <br /> List all monitoring equipment either replaced or repaired in Section 9 <br /> Page 4 of 6 <br />