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....___......_-.... <br /> Underground Storage Tank <br /> Monitoring System Certification Form <br /> - ---- <br /> 1[�-TA[�IE4 l#G�� iNG TE�TI�G -------- --- <br /> ® Check this box if tank gauging is used only for inventory control. <br /> ® Check this box if NO tank gauging equipment is installed. Yes E No NA <br /> Do not complete this section if either box is checked.) l <br /> All wiring has been: 1) visually inspected for kinks, breaks and proper entry and <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? 17 r <br /> - - <br /> Was accuracy of system's product level readings tested? ® ® 1971 <br /> --—.... <br /> Was accuracy of system's water level readings tested? _— [ <br /> Were all probes reinstalled properly? _I <br /> Were all items on the equipment manufacturer's maintenance checklist completed? <br /> Probe ID Probe Model _ Tanks MonitoredPass Fail <br /> rl 97 <br /> --- <br /> ® r <br /> r7 17 <br /> ---— <br /> r 17 <br /> , <br /> i r <br /> i 9. CE}Mf EFTS - <br /> Describe all answers marked "No"or "Fail"and proposed remedy. <br /> List all monitoring equipment either replaced or repaired. <br /> i <br /> Page 5 of 6 <br />