Title Page

  • Site

  • Inspected by

  • Conducted on

  • Location

Release Detection Equipment Testing

  • Per EPA, maintain records of release detection equipment testing for at least three years.
    https://www.epa.gov/ust/operating-and-maintaining-ust-systems-2015-requirements#release

Automatic tank gauge and other controllers

  • Test the alarm

  • Verify the system configuration

  • Test the battery backup

Probes and sensors

  • Inspect for residual buildup

  • Ensure any floats move freely

  • Ensure any shafts are not damaged

  • Ensure the cables are free of kinks and breaks

  • Test the alarm operability and communication with the controller

Automatic line leak detector

  • Ensure the device activates (alarms, restricts flow, or shuts off flow) within an hour when simulating a release equivalent to 3 gallons per hour at 10 pounds per square inch

Vacuum pumps and pressure gauges

  • Ensure there is proper communication with sensors and the controller

Hand-held electronic sampling equipment associated with groundwater and vapor monitoring

  • Ensure the device operates properly

Completion

  • Comments/Recommendations

  • Name and Signature

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