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Underground Storage Tank <br /> Monitoring System Certification Form <br /> IS. IN-TANK GAUGINGTESTING <br /> Check this box if tank gauging is used only for inventory control. <br /> Q Check this box if NO tank ganging equipment is installed. Yes No N <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 ❑ T7 ❑ <br /> termination, and tested for ground faults? <br /> Were all in-tank gauging probes visually inspected for damage and residue buildup ❑ ❑ <br /> to ensure that floats move freely, functiona[ly tested. and confirmed operational? <br /> Was accuracy of system's product level readings tested? � � ❑ <br /> Was accuracy of system's water level readings tested? Q ❑ <br /> Were all probes reinstalled properly? ❑ ❑ ❑ <br /> Were all items ori the equipment manufacturer's maintenance checklist completed? (❑ Q] ❑ <br /> Probe lD Probe Model Tanks Monitored Pass Fat! <br /> _ ❑ Q <br /> 0 <br /> ❑ E <br /> El LEE ]11 <br /> . COMMENTS <br /> Describe all answers marked Wo" or "Fail" and proposed remedy, <br /> LW all mondoOng equipment either replaced or repaired. <br /> i <br /> Page 5 of 6 <br />