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Underground Storage Tank <br /> ` Monitoring System Certification Fon'n <br /> S. IN-TANK TESTtNt3 <br /> 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 com I e this section if either box is checked. <br /> All wiring has : 1)visually inspected for kinks, breaks and proper entry and ❑ in <br /> and 2 tested for round faults? <br /> it Were all in-tank g uging probes visually inspected for damage and residue buildup ® ❑ <br /> to ensure that floc move freely, functionally tested, and confirmedoperational? of <br /> Was accuracy of f ystem's product level readings tested? a ri <br /> Was accuracy of f ystem's water level readings tested? ❑ ❑ <br /> Were all probes installed properly? ® ❑ <br /> Were all items onhe equipment manufacturer's maintenance checklist completed? ❑ ❑ <br /> Probe ID robe Model Tanks Monitored Pass Fail <br /> k Cin <br /> - <br /> lac <br /> ❑ ❑ <br /> Describe all an rs marked "Non or°Fail"and proposed remedy_ <br /> List all monitoring equipment either replaced or repaired. <br /> Page 5 of 6 <br />