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Underground Storage Tank <br />Monitoring System Certification Form <br />8. IN -TANK GAUGING TESTING <br />® Check this box if tank gauging is used only for inventory control. <br />L Check this box if NO tank gauging equipment is installed. <br />Do not complete this section if either box is checked. <br />Yes <br />No <br />NA <br />All wiring has been: 1) visually inspected for kinks, breaks and proper entry and <br />termination: and 2 tested for ground faults? <br />El <br />D <br />L) <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 o erational? <br />Li <br />Ll <br />Was accuracy of system's product level readings tested? <br />L-1 <br />Ll <br />R] <br />Was accuracy of system's water level readings tested? <br />D <br />0 <br />23 <br />Were all probes reinstalled properly? <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />Ll <br />L-1 <br />D <br />L2 <br />Probe 1D Probe Model Tanks Monitored Pass <br />Fail <br />T1 847390-107 0 <br />Ll <br />D <br />Ll <br />D <br />it <br />L) <br />Ll <br />L) <br />i1 <br />D <br />it <br />Page 5of6 <br />