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Underground Storage Tank <br /> unit ring System Certification Form <br /> 7. LINE LEAK DETECTOR TESTING <br /> EQ Check this box if line leak detectors ► RE NOT installed. (Do not complete this section.) <br /> Simulated release rate verified. (Check all that apply.) Yes No NA <br /> 3 GPH 0 0.1 GPH 02 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 0 ❑ <br /> release is detected' <br /> For electronic LLDs, does the turbine automatically shut off when a release is ❑ <br /> detected? <br /> Far ele ron-ic LLDs, does the turbine automatically shut off if any portion of the ❑ ❑ 0 <br /> monitort stern is disabled or disconnected? <br /> For electronic s, does the turbine automatically shut off if any portio of the ❑ ❑ <br /> monitoringsystem functions or fails a tightness test? <br /> For electronic LLDs, ha IC accessible wiring connections be isually inspected ❑ <br /> for kinks and breaks? <br /> Were all Items on the equipment m facturer's rrraint rfanoe checklist completed? d <br /> Were all LLDs confirmed operational withi gulatbry requirements? ❑ ❑ ❑ <br /> LLD lD LLD Model f' Lures Monitored Pass F& <br /> ❑ ❑ <br /> ❑ 0 <br /> ❑ o <br /> Describe ali answers marked "1W or"Fail"and proposed remedy in Section 9. <br /> List all monitoring equipment either replaced or repaired in Section 9 <br /> Page 4 of <br />