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Underground Storage Tank <br /> Monitoring System Certification Form <br /> 7 . LINE LEAK DETECTOR TESTING <br /> Lr Check this box if line leak detectors ARE NOT installed . (Do not complete this section .) <br /> Simulated release rate verified : ( Check all that apply . ) Yes No NA <br /> - 03GPH © 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 /> release is detected ? <br /> For electronic LLDs , does the turbine automatically shut off when a release is 0 © ri <br /> detected ? <br /> For electronic LLDs , does the turbine automatically shut off if any portion of the ® ri <br /> monitoring system is disabled or disconnected ? <br /> For electronic LLDs , does the turbine automatically shut off if any portion of the ® rl <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 Pass Fail <br /> Q1 0848480 =001 91 Product <br /> Q2 0848480 -001 87 Product <br /> rl FE <br /> ® M <br /> ri ri <br /> ri ri <br /> ri <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 />