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Underground Storage Tank <br /> Monitoring System Certification Form <br /> 7. LINE LEAK DETECTOR TESTING <br /> ® 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 /> ❑ 3 GPH 9 0 . 1 GPH LJ 0 . 2 GPH <br /> Has the testing apparatus been properly calibrated ? D J n <br /> For emergency generator tank systems , does the LLD create an audible and visual ❑ J Ej <br /> alarm when a leak is detected? <br /> For mechanical LLDs , does the LLD restrict the flow through the pipe when a ❑ ❑ ❑ <br /> release is detected? <br /> For electronic LLDs , does the turbine automatically shut off when a release is ® ❑ ❑ <br /> detected ? <br /> For electronic LLDs , does the turbine automatically shut off if any portion of the J D 0 <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 ❑ ® ❑ <br /> for kinks and breaks? <br /> Were all items on the equipment manufacturer's maintenance checklist completed ? ❑ ❑ ❑ <br /> Were all LLDs confirmed operational within regulatory requirements? J ❑ ❑ <br /> LLD ID LLD Model Lines Monitored Pass Fail <br /> ❑ g <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ D <br /> Di Ll <br /> ❑ ❑ <br /> D ❑ <br /> Describe all answers marked No " or `Fail' and proposed remedy in Section 9. <br /> List all monitoring equipment either replaced or repaired in Section 9 <br /> Page 4 of 6 <br />