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Underground Storage Tank <br /> Monitoring System Certification Form <br /> 17. LINE LEAK DETECTOR TESTING <br /> Check this box if line leak detectors ARE NOT installed. (Do not complete this section.) <br /> ffied- (Check all that apply.) <br /> Simulated release rate verified: 1 Yes i No NA <br /> 3 GPH 0.1 GPH 0.2 GPH <br /> Has the testing apparatus been properly calibrated? I r Lrl <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 <br /> release is detected? <br /> For electronic LLDs, does the turbine automatically shut off when a release is <br /> r <br /> detected? <br /> For electronic LLDs, does the turbine automatically shut off if any portion of the F1 rl El <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 falls a tightness test? <br /> For electronic LLDs, have all accessible wiring connections been visually inspected <br /> U L7 <br /> for kinks and breaks? <br /> Were all items on the equipment manufacturer's maintenance checklist completed? ri <br /> L7 <br /> Were all LLDs confirmed operational within regulatory requirements? <br /> LLD ID LLD Model Lines Monitored Pass Fail <br /> tank #1 plid regular unleaded <br /> Tr <br /> tank# 2 pild super unleaded <br /> r r <br /> Cr <br /> In C <br /> r r <br /> Lr <br /> r <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 />