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RECEIVED BY EHD: <br /> UNDERGROUND STORAGE TANK 7/27/2021 <br /> MONITORING SYSTEM CERTIFICATION FORM (Page (received via Crompco Vault Portal) <br /> XVI. LINE LEAK DETECTOR TESTING <br /> r Check this box if line leak detectors (LLD) are NOT installed. (Do not complete this section.) Y N NA <br /> This section must be completed if LLDs are installed. <br /> Was a leak simulated to verify LLD performance? F%O F- F- <br /> (Check all that apply.) Simulated leak rate verified: r 3 GPH r 1.1 GPH r 0.2 GPH <br /> Was the testing apparatus properly calibrated? <br /> For emergency generator tank systems, does the LLD create an audible and visual alarm when a leak is detected? r- r- r <br /> For mechanical LLDs, does the LLD restrict the flow through the pipe when a leak is detected? r- r- Fv- <br /> For electronic LLDs, does the turbine automatically shut off when a leak is detected? F-0 r- F- <br /> For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? F r- r- <br /> For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? F r- r- <br /> For electronic LLDs, have all accessible wiring connections been visually inspected for kinks and breaks? F r <br /> Were all items on the equipment manufacturer's maintenance checklist completed? F,/ F- F- <br /> Were all LLDs confirmed operational within regulatory requirements? P F- F- <br /> For any answer of'W"above, describe in section Xlll how and when these issues were or will be corrected. <br /> XIII. COMMENTS <br /> XIV. VACUUM/PRESSURE/HYDROSTATIC MONITORING EQUIPMENT TESTING <br /> F- Check this box if VPH monitoring is NOT used. (Do not complete this section.) <br /> This section must be completed if VPH monitoring is used to perform leak detection monitoring. <br /> System Type (Mark all that apply.) 7 Vacuum r Pressure r Hydrostatic <br /> Sensor ID Component(s) Monitored by this Sensor Sensor Functionality Interstitial Communication <br /> Test Test <br /> S1 DSL PROD. Fy-1 Pass F-Fail Fy-1 Pass F-Fail <br /> S2 DSL 2 PROD. P Pass r-Fail P Pass r-Fail <br /> S3 VENT P Pass r-Fail P Pass r-Fail <br /> r-Pass r-Fail r-Pass r-Fail <br /> r-Pass r-Fail r-Pass r-Fail <br /> r-Pass r-Fail r-Pass r-Fail <br /> r-Pass r-Fail r-Pass r-Fail <br /> r-Pass r-Fail r-Pass r-Fail <br /> r-Pass r-Fail r-Pass F Fail <br /> r-Pass r-Fail r-Pass r Fail <br /> r Pass r Fail r Pass r Fail <br /> r Pass r-Fail r-Pass r-Fail <br /> How was interstitial communication verified? F Simulated leak at far ends of the interstitial space. r Visual Inspection <br /> r Other Describe the method in section XV below. r Gauge <br /> Was the vacuum or pressure restored to operating levels in all interstitial spaces? F Yes r- No (Describe the reason in section XV below.) <br /> For any answer of'W"above, describe in section Xlll how and when these issues were or will be corrected. <br /> XV. COMMENTS <br /> COULDNT TEST COMMUNICATION IN DSL TANK#1 FILL SUMP... <br /> GPH = Gallons per hour,Y=Yes, N = No, NA = Not applicable,VPH =Vacuum/Pressure/Hydrostatic, ID= Identification <br />