Title Page
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Site
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Inspected by
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Conducted on
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Location
Release Detection Equipment Testing
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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
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Test the alarm
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Verify the system configuration
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Test the battery backup
Probes and sensors
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Inspect for residual buildup
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Ensure any floats move freely
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Ensure any shafts are not damaged
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Ensure the cables are free of kinks and breaks
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Test the alarm operability and communication with the controller
Automatic line leak detector
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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
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Ensure there is proper communication with sensors and the controller
Hand-held electronic sampling equipment associated with groundwater and vapor monitoring
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Ensure the device operates properly
Completion
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Comments/Recommendations
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Name and Signature