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Underground Storage Tank <br /> Monitoring System Certification Form <br /> 8. IN-TANK GAUGING TESTING <br /> 0 Check this box if tank gauging is used only for inventory control. <br /> ❑ Check this box if NO tank gauging equipment is installed. Yes No NA <br /> (Do not complete this section if either box is checked.) <br /> All wiring has been: 1) visually inspected for kinks, breaks and proper entry and ❑ ❑ ❑ <br /> termination; and 2 tested for ground faults? <br /> Were all in-tank gauging probes visually inspected for damage and residue buildup ❑ ❑ ❑ <br /> to ensure that floats move freely, functionally tested, and confirmed operational? <br /> Was accuracy of system's product level readings tested? ❑ ❑ ❑ <br /> Was accuracy of system's water level readings tested? ❑ ❑ ❑ <br /> Were all probes reinstalled properly? ❑ I❑ ❑ <br /> Were all items on the equipment manufacturer's maintenance checklist completed? ❑ 1 ❑ ❑ <br /> Probe ID Probe Model Tanks Monitored Pass Fail <br /> T1 PA02650960200 T1 Unleaded 0 ❑ <br /> T2 847390-107 T2 Diesel 0 ❑ <br /> T3 846396-604 T3 Waste Oil 0 ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> 9. COMMENTS <br /> Describe all answers marked "No"or "Fail"and proposed remedy. <br /> List all monitoring equipment either replaced or repaired. <br /> Backup battery voltage reading at 3.70 volts. <br /> We tested all dispenser impact valves and emergency shutoff switches.All operating correctly. <br /> Page 5 of 6 <br />