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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 />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 />17 <br />® on <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? <br />17 <br />U El <br />Was accuracy of system's product level readings tested? <br />In <br />Was accuracy of system's water level readings tested? <br />17 <br />r] ri <br />Were all probes reinstalled properly? <br />17 <br />Were all items on the eauioment manufacturer's maintenance checklist completed? <br />1 97 <br />17 <br />1 rl <br />Probe ID Probe Model <br />Tanks Monitored <br />Pass Fail <br />El Erl <br />® on <br />U El <br />r] ri <br />9. COMMENTS <br />Describe all answers marked "No" or "Fail" and proposed remedy. <br />List all monitoring equipment either replaced or repaired. <br />Alarms from this system are relayed to the facility SCATA system. <br />is is an Emergency Generator Tank, suction system. <br />No dispensers. <br />This system has no printer, an alarm log is kept on site. <br />SJEHD was on site for testing. <br />Page 5of6 <br />