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Underground Storage Tanks <br />Monitoring System Certification Form <br />8. IN -TANK GAUGING TESTING <br />Check this box if tank gauging is used only forinvert control. <br />Q Check this kox if NO tank gauging equipment is in Iled. <br />qte this section if either box is ch ed, <br />Do not coTpf <br />Yes <br />No <br />NA <br />All wiring has been j) visually inspected for kinks; breaks and proper entry and <br />termination; and testod for g round faults? <br />❑ <br />❑ <br />❑ <br />Were all in -tank gauging 'or bes visually insp6cted for damage and residue buildup <br />to ensure that floats move fr I , function fltested. and confirmed operational? <br />❑ <br />❑ <br />Was accuracy of system's prod of f vel.:(eadings tested" <br />❑ <br />❑ <br />❑ <br />Was accuracy of system's water le4q readings tested? <br />a <br />Were aIJ probes reinstalled properiy7 <br />l® <br />Were all items on the equipment rrtanufact rer's maintenance checklist completed? <br />® <br />❑ <br />� <br />Probe to <br />Probe Model Tanks Monitored <br />Pass <br />Fail <br />9. COMM EN <br />Describe all answers marked 'No r or Ta+l' and proposed remedy. <br />List all monitoring equipment either replaced or repaired. <br />i <br />Page 5 of 6 <br />