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Underground Storage Tank <br />Monitoring System Certification Form <br />8. IN -TANK GAUGING TESTING <br />F1 Check this box if tank gauging is used only for inventory control. <br />rl 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 />F <br />17 <br />M <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 />17 <br />Was accuracy of system's product level readings tested? <br />F <br />1 <br />Was accuracy of system's water level readings tested? <br />El <br />I r] <br />Were all probes reinstalled properly? <br />r] <br />17 <br />ri <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />1 ® <br />1 [M <br />El <br />Probe ID <br />Probe Model <br />Tanks Monitored <br />Pass <br />Fail <br />El <br />r <br />El <br />M <br />El <br />I r] <br />0 <br />El <br />El <br />C <br />17 <br />Page 5 of 6 <br />