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Underground Storage Tank <br /> Monitoring System Certification Form <br /> 7. LINE LEAK DETECTOR TESTING <br /> LJ 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 /> 0 3 GPH L 0.1 GPH LJ 6.2 GPH <br /> Has the testing apparatus been properly calibrated? 0 J Lj <br /> For emergency generator tank systems, does the LLD create an audible and Visual LA LA A <br /> alarm when a leak is detected? <br /> For mechanical LLDs, does the LLD restrict the flow through the pipe when a ® LI El <br /> release is detected? <br /> For efectronic LLDs, does the turbine automatically shit off when a release is LI LI 0 <br /> detected? <br /> For efectronic LLDs, does the turbine automatically shut off if any portion of the <br /> mon ito-ring system is disabled or disconnected? <br /> For electronic LLDs, does the turbine automatically shut off if any portion of the LI Li <br /> RI <br /> _monitoring system malfunctions or fails a tightness test? <br /> For electronic LLDs, have all accessible wiring connections been visually inspected Li Li 0 <br /> for kinks and breaks? <br /> Were all items on the equipment manufacturer's maintenance checklist completed? 21 L, L, <br /> Were all LLDs confirmed operational within regulatory requirements? RI, A LI <br /> LLD !D LLD Model Lines Monitored Pass Fail <br /> t4 Vaporless LD-2000 87 <br /> t5 Vaporless LD-2000 89 QLI <br /> t6 Vaporless LD-2000 91 21 L2 <br /> Il Q <br /> DI Ii <br /> Ij II <br /> El 2 <br /> Ii Ij <br /> j El <br /> Describe all answers marked "No"or Fail"and proposed remedy in SeC60n 9. <br /> List all monitoring equipment either replaced or repaired in Section 9 <br /> Page 4 of 6 <br />