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Underground Storage Tank <br /> Monitoring System Certification Form <br /> 7. LINE LEAK DETECTOR TESTING <br /> LJ Check this box if line leak detectors ARE NOT installed. (Do not complete this section.) <br /> Simulated release rate verified: (Check all that apply.) Yes No NA.. <br /> V) 3 GPH L 0.1 GPH Ll 0.2 GPH <br /> Has the testing apparatus been properly calibrated? 0 A L-1 <br /> For emergency generator tank systems, does the LLD create an audible and visual J Lj R) <br /> alarm when a leak is detected? <br /> For mechanical LLDs, does the LLD restrict the flow through the pipe when a � � El <br /> release is detected? <br /> For electronic LLDs, does the turbine automatically shut off when a release is L1 Ll W1 <br /> detected? <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 Ll Li <br /> monitorin g s stem maffunctians or fails a ti htness test? <br /> For electronic LLDs, have all accessible wiring connections been visually inspected Li Li V1 <br /> for kinks and breaks? <br /> Were all items on the equipment manufacturer's maintenance checklist completed? 0 Li Lj <br /> Were all LLDs confirmed operational.within regulatory requirements? 0 J Li <br /> LLD 0 LLD Model Lines Monitored Pass Fail <br /> T1 Red Jacket FX1V RUL PROD. LINE <br /> T2 Red Jacket FX1V PUL PROD. LINE A Ll <br /> ❑I ❑ <br /> Li I I <br /> Q I <br /> Q 0 <br /> ❑J Q <br /> Q Q <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 />