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Underground Storage Tank <br /> Monitoring System Certification Form <br /> 8. IN TANK GAUGING TESTING <br /> XCheck this box if tank gauging is used only for inventory control. <br /> ❑Check this box if NO tank gauging equipment is installed. Yes No .NA <br /> Do not complete this section if either box is checked. <br /> All wiring has been: 1) visually inspected for kinks, breaks and proper entry and termination; ❑ D D <br /> and 2 tested for ground faults? <br /> Were all in-tank gauging probes visually inspected for damage and residue buildup to D ❑ <br /> ensure that floats move freely, functionally tested, and confirmed operational? <br /> Was accuracy of system's product level readings tested? ❑ ❑ ❑ <br /> Was accuracy of system's water level readings tested? ❑ ❑ ❑ <br /> Were all probes reinstalled properly? ❑ ❑ ❑ <br /> Were all items on the equipment manufacturer's maintenance checklist completed? ❑ ❑ ❑Lj <br /> Probe ID Probe Model Tanks Monitored Pass Fail <br /> D ❑ <br /> D ❑ <br /> D ❑ <br /> ❑ D <br /> ❑ D <br /> ❑ LEI <br /> 9. COMMENTS <br /> Describe all answers marked "No"or"Fail"and proposed remedy. <br /> List all monitoring equipment either replaced or repaired. <br /> 10. MONITORING SITE PLAN <br /> Page 5 of 6 <br />