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Underground Storage Tank Monitoring System Certification Form 7. LINE LEAK DETECTOR TESTING C Check this box if line leak detectors ARE NOT installed. (Do not complete this section.) Simulated release rate verified: (Check all that apply.) 0 3 GPH © 0.1 GPH © 0.2 GPH Yes No NA Has the testing apparatus been properly calibrated? Z ❑ ❑ For emergency generator tank systems, does the LLD create an audible and visual alarm when a leak is detected? ❑ ❑ Z For mechanical LLDs, does the LLD restrict the flow through the pipe when a release is detected? Diesel VMI LD -2000 Diesel product For electronic LLDs, does the turbine automatically shut off when a release is detected? ❑f— For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? ❑ 0 r For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a tightness test? ❑ ❑ Z For electronic LLDs, have all accessible wiring connections been visually inspected for kinks and breaks? ❑ ❑ F Were all items on the equipment manufacturer's maintenance checklist completed? Were all LLDs confirmed operational within regulatory requirements? o ❑ ❑ LLD ID LLD Model Lines Monitored Pass Fail 87 VMI LD -2000 87 Product E ❑ 91 VMI LD -2000 91 Product 0El Diesel VMI LD -2000 Diesel product 0 ❑f— ❑ a ❑ ❑ ❑ o ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ o ❑ Describe all answers marked "No" or "Fail" and proposed remedy in Section 9. List all monitoring equipment either replaced or repaired in Section 9 Page 4 of 6