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Underground Storage Wank <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 /> I <br /> Simu[ ted release rate verified: (Check all that apply.) YesNo NA. <br /> 13 GPH ❑ 0.1 GPH ❑ 0.2 GPH <br /> Has the testing apparatus been properly calibrated? ❑ ❑ <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 /> ❑ ❑ <br /> release is detected? <br /> For electronic LLDs, does the turbine automatically shut off when a release is ❑ Eldetected? <br /> For electronic LLDs, does the turbine automatically shut off if any portion of the ❑ 1:1monitorin 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? <br /> LLD ID LLD Model Lines Monitored 7asFail <br /> KZ r 1 o rot- ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <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 />