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Underground Storage Tank <br /> Monitoring System Certification Form <br /> 6 . IN -TANK GAUGING TESTING <br /> I <br /> Check this box if tank gauging is used only for inventory control . <br /> Check this box if NO tank gauging equipment is installed . YesrE01 <br /> NA <br /> Do not complete this section if either box is checked. <br /> All wiring has been : 1 ) visually inspected for kinks , breaks and proper entry and ❑ El <br /> termination ; and 2 tested for round faults? <br /> Were all in -tank gauging probes visually inspected for damage and residue buildup ® ❑ <br /> to ensure that floats move freely, functionally tested , and confirmed operational? <br /> Was accuracy of system 's product level readings tested ? ❑ ❑ ❑ <br /> Was accuracy of system's water level readings tested ? ❑ ❑ ❑ <br /> Were all probes reinstalled properly? ❑ ❑ ❑ <br /> Were all items on the equipment manufacturer's maintenance checklist completed ? I ❑ t ❑ 11EII <br /> Probe ID Probe Model Tanks Monitored Pass Fail <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> COMMENTS <br /> Describe all answers marked "No" or "Fail" and proposed remedy. <br /> List all monitoring equipment either replaced or repaired. ae <br /> ,0gSp "!l8 4;;0j .D wo ren Sre <br /> 'ENca . s r, UN u `.n tAm r (.13uS & rN PUP p y, <br /> Page 5 of 6 <br />