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Yes No <br />2 <br />0 i <br />0 <br />0 <br />0 <br />0 <br />SUP. PROD. LINE <br />Q2 REG. PROD. LINE848480-001 <br />Page 4 of 6 <br />LLD Model <br />848480-001 <br />Describe all answers marked “No" or “Fair and proposed remedy in Section 9. <br />List all monitoring equipment either replaced or repaired in Section 9 <br />Underground Storage Tank <br />Monitoring System Certification Form <br />LLD ID <br />01 <br />0 <br />0 <br />Pass <br />“0“ <br />- <br />d <br />d <br />d <br />Fail <br />d <br />d <br />d <br />d <br />d <br />d <br />7. LINE LEAK DETECTOR TESTING________________________________________ <br /> Check this box if line leak detectors ARE NOT installed. (Do not complete this section.) <br />Simulated release rate verified: (Check all that apply.) <br />0 3 GPH 0.1 GPH 0.2 GPH <br />Has the testing apparatus been properly calibrated? <br />For emergency generator tank systems, does the LLD create an audible and visual <br />alarm when a leak is detected?_________________________________________ <br />For mechanical LLDs, does the LLD restrict the flow through the pipe when a <br />release is detected?_________________ _______________________________ <br />For electronic LLDs, does the turbine automatically shut off when a release is <br />detected?__________________________________________________________ <br />For electronic LLDs, does the turbine automatically shut off if any portion of the <br />monitoring system is disabled or disconnected?____________________________ <br />For electronic LLDs, does the turbine automatically shut off if any portion of the <br />monitoring system malfunctions or fails a tightness test? <br />For electronic LLDs. have all accessible wiring connections been visually inspected <br />for kinks and breaks? <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />Were all LLDs confirmed operational within regulatory requirements? <br />Lines Monitored <br /> : <br />□ j <br />□“I <br />a <br />□ i <br />NA