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Underground Storage Tank <br /> Monitoring System Certification Form <br /> E IN-TANK GAUGING TESTING <br /> ® Check 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 <br /> termination; and 2 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, 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? ® ® r <br /> Were all probes reinstalled property? ® C <br /> Were all items on the equipment manufacturer's maintenance checklist completed? <br /> Probe ID Probe Model Tanks Monitored Pass Fail <br /> T1 PA02651320200 TFUG01 <br /> T2 PA02650960200 TFUD01 <br /> 8 <br /> ® 0 <br /> 9. COMMENTS <br /> Describe all answers marked "No"or"Fair'"and proposed remedy_ <br /> List all monitoring equipment either replaced or repaired. <br /> TFUG01 Unleaded is a pressure system with positive shutdown on piping sump alarms. <br /> TFUD01 Diesel is a safe suction system, verified for SJEHD during 8-5-2014 monitor cert. <br /> FFS DC-400 with 5404 sensors in UDC's provide dispenser shut off on alarms. <br /> SJEHD was on site for testing. <br /> Page 5 of 6 <br />