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utsu"ucuuus V Vtit►1iluleul Iesting an, ertillcation General Instructions I. Equipment that monitors underground storage tank systems containing hazardous materials must be tested/sen annually.or on a schedule specified by the manufacturer, whichever is more frequent. 2. This certification form must be used to document the following activities: I.) Periodic testing as described ah., ' 2.) Testing of new monitoring systems upon installation; 3.) Testing of replacement sensors, probes, of ','I" ' system components; and 4.)Testing of repaired sensors,probes,'or other system components. 3. As noted on Page 1, a separate certification fifrm must be competed for each individual monitoring system c""""I panel. For example: If one control panel monitors in-tank gauging probes and another panel monitors electron , leak detectors, two certification forms would be required. 4. Be aware that many local agencies require that a permit be obtained REjor to installing new monitoring systei" components. Check with your local agency for their requirements before starting work. Section B 1. In the Tank ID sections, describe which tanks you worked on (e.g. Diesel Tank. North Tank,Middle Tank). 2. For compartmented tanks, list each compartment as a separate tank. 3. Where "Model" is asked for,the name of the manufacturer and the manufacturer's specific model name or numbt•f, its referenced in the "List of Leak Detection Equipment and Methods for Underground Storage Tanks" (i.e. LG I I t must be specified. 4. Hands-on functional testing of individual leak detection components to confirm operability to manufacim"I ' specifications and state regulations is required. This includes verifying any automatic shut-off features. In the of sensors that can not be non-destructively tested, contact your local agency that regulates UST systems to w, tf they will approve alternate testing methods(e.g. testing of representative samples). Section C 1. Certification must be made by a state-registered technician. 2. All work associated with testing/servicing of equipment must be performed by or under the direct supervision III l" certifying technician. Section D f 1. Leak sensors must be reinstalled at the low points of the secondary containment systems they monitor and posit f"0111 so that other equipment will not interfere with their proper operation. 2. When testing operability of positive turbine shut-down, you must: 1.) verify shut-down by simulating a leak: ;11141 verity shut-down by disconnecting the sensor. Site Plan You must attach a Site Plan showing the general layout of lanks.and piping. Clearly identify locations of the fallim""' equipment, if installed: monitoring system control panels; sensors monitoring tank annular spaces, sumps, dispel"' ' pans, spill containers. or other secondary containment areas; mechanical or electronic line leak detectors; and iu u""' liquid level probes (ifused for leak detection). Note the date the Site Plan was prepared