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Underground Storage Tank Monitoring System Certification Form 7. LINE LEAK DETECTOR TESTING El Check this box if line leak detectors ARE NOT installed. (Do not complete this section.) Simulated release rate verified: (Check all that apply.) Yes No NA ❑ 3 GPH ❑ 0.1 GPH ❑ 0.2 GPH ❑ ❑ Has the testing apparatus been properly calibrated? ❑ ❑ ❑ For emergency generator tank systems, does the LLD create an audible and visual ❑ ❑ ❑ alarm when a leak is detected? ❑ For mechanical LLDs, does the LLD restrict the flow through the pipe when a ❑ ❑ ❑ release is detected? ❑ ❑ For electronic LLDs, does the turbine automatically shut off when a release is ❑ ❑ ❑ detected? For electronic LLDs, does the turbine automatically shut off if any portion of the ❑ ❑ ❑ monitoring system is disabled or disconnected? ❑ ❑ For electronic LLDs, does the turbine automatically shut off if any portion of the ❑ ❑ ❑ monitoring system malfunctions or fails a tightness test? ❑ For electronic LLDs, have all accessible wiring connections been visually inspected ❑ ❑ ❑ for kinks and breaks? ❑ Were all items on the equipment manufacturer's maintenance checklist completed? ❑ ❑ ❑ Were all LLDs confirmed operational within regulatory requirements? ❑ 1 ❑ ❑ LLD ID LLD Model Lines Monitored Pass Fail ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Describe all answers marked "No" or "Fail" and proposed remedy in Section 9. List all monitoring equipment either replaced or repaired in Section 9 Page 4 of 6