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Underground Storage Tank <br />Monitoring System Certification Form <br />8. IN -TANK GAUGING TESTING <br />® Check this box if tank gauging is used only for inventory control. <br />® Check this box if Na tank gauging equipment is installed. <br />Do not complete this section if either box is checked. <br />Yes <br />No <br />NA <br />All wiring has been: 17 visually inspected for kinks, breaks and proper entry and <br />termination; and 2 tested for ground faults? <br />T2 846397-111 <br />91 <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 />DSL <br />© � <br />Was accuracy of system's product level readings tested? <br />® <br />E <br />Was accuracy of system's water level readings tested? <br />® <br />17 <br />Were all probes reinstalled properly? <br />ri <br />Ir <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />Probe ID Probe Model <br />Tanks Monitored <br />Pass Fail <br />T1 846397-111 <br />87 <br />T2 846397-111 <br />91 <br />T3 846397-111 <br />DSL <br />© � <br />ri ri <br />0 11 <br />® In <br />Page 5 of 6 <br />