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Underground Storage Tank <br /> Monitoring System Certification Form <br /> 7. LINE LEAK DETECTOR TESTING <br /> L1 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 /> A 3 GPH L 0.1 GPH Ll 0.2 GPH <br /> Has the testing apparatus been properly calibrated? � � � <br /> For emergency generator tank systems, does the LLD create an audible and Visual <br /> alarm when a leak is detected? <br /> For mechanical LLDs, does the LLD restrict the flow through the pipe when a 0 Ll Li <br /> release is detected? <br /> Fof electronic LLDs, does the turbine automatically shut off when a release is 2 D <br /> 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 shut off if any portion of the <br /> monitoring system malfunctions or fails a tightness test? <br /> For electronic LLDs, have all accessible wiring connections been visually inspected L] ® A <br /> for kinks and breaks? <br /> Were all !terns on the equipment manufacturer's maintenance checklist completed?. 0 Li D <br /> Were all LLDs confirmed operational within regulatory requirements? 0 U A <br /> LLD lD LLD Model Lines Monitored Pass Fail <br /> T3 Vaporless LD-2000 87 0 1-1 <br /> T4 Vaporless LD-2000 91 A D <br /> T5 Vaporless LD-2000 91 0 U <br /> Ll LJ <br /> Il Ll <br /> L11 13 <br /> Ll D <br /> J J <br /> L� J <br /> Lj L] <br /> Ll €l <br /> El <br /> AE) <br /> Describe all answers marked "No"or"Fail,"and proposed remedy in Section g. <br /> List all monitoring equipment either replaced or repaired in Section 9 <br /> Page 4 of 6 <br />