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Underground Storage Tank <br /> Release Detection Equipment Testing Report Form <br /> 7. LINE LEAK DETECTOR TEST RESULTS <br /> ❑ Check this box if line leak detectors ARE NOT installed. (Do not complete this section.) <br /> ❑ Check this box if Appen 'x 5.2 continuation page is attached. <br /> Simulated release rate verifi d: {Check all that apply.} Yes No NA <br /> ❑ 3 GPH ❑ 0.1 GPH ( equired onl if LLD performs line fighfnes testing) <br /> Has the testing equipment been roperly calibrated? ❑ ❑ ❑ <br /> For emergency tank systems, do4 the LLD create an audible a visual alarm ❑ ❑ ❑ <br /> when a release is detected? <br /> For mechanical LLDs, does the LLD estrict the flow throug the pipe when a ❑ ❑ ❑ <br /> release is.detected? <br /> For electronic LLDs, does the pressure supply pump a omatically shut off when El ❑ ❑ <br /> a release is detected? <br /> For electronic LLDs, does the pressureAdisponn <br /> y pu automatically shut off if the ❑ ❑ ❑ <br /> monitoringsystem or LLD is disabled o cted? <br /> For electronic LLDs, does the pressure supp ump automatically shut off if the ❑ ❑ ❑ <br /> monitoring system or LLD malfunctions or fa' s tightness test? <br /> For electronic LLDs, have all accessible w' ing c nnections been visually ❑ ❑ ❑ <br /> inspected for kinks and breaks? <br /> Were all items on the equipment man cturer's ma' tenance checklist ❑ ❑ ❑ <br /> completed? <br /> Were all LLDs confirmed operatio I within regulatory r uirements? ❑ ❑ ❑ <br /> List only line leak defectors tes d. <br /> LLD ID LLD Mode Lines Mbnitored Pass Fail <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> Describe all answers marked "No"or "Fail"and the proposed remedy in Section B. <br /> List all equipment either replaced or repaired (including cleaning or adjustment) in Section 8, <br /> Page 4 of 6 <br />