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Underground Storage Tank <br /> Monitoring System Certification Form <br /> 7. LINE LEAK DETECTOR TESTING <br /> Ll 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 1A <br /> 0 3 GPH L 0.1 GPH LJ 0.2 GPH <br /> Has the testing apparatus been properly calibrated? 0 D Ell <br /> For emergency generator tank systems, does the LLD create an audible and visual LA J 0 <br /> alarm when a leak is detected? <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 Ll Lj Wi <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 strut off if any portion of the Ll L] <br /> monitoring system malfunctions or fails a tightness test? <br /> For electronic LLDs, have all accessible wiring connections been visually inspected Ll Ll <br /> for kinks and breaks? <br /> Were all items on the equipment manufacturer's maintenance checklist completed? 0 Lj Ll <br /> Were all LLDs confirmed operational within regulatory requirements? E-) 13 <br /> LLD ID LLD Model Lines Monitored Pass Fail <br /> T1 Vaporless LD-2000 RUL PROD. LINE R) Li <br /> T2 Vaporless LD-2000 PUL PROD. LINE 0 L) <br /> T3 Vaporless LD-2000 DSL PROD. LINE ® Li <br /> li Il <br /> Ll Ii <br /> ® li <br /> Ll D <br /> J Lj <br /> D Ij <br /> Ll Lj <br /> Li D <br /> Li Q <br /> Describe ail answers marked "'No"or "Fail"'and proposed remedy in Section 9. <br /> List afl monitoring equipment either replaced or repaired in Section 9 <br /> Page 4 of 6 <br />