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Section 12: Release Detection (cont’d.)

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All ALLDs pass an annual field operability test for detection of a 3.0-gph leak.

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Device is calibrated, operated, and maintained per manufacturer's instructions in addition to limitations listed on evaluation summary NWGLDE* list. Line Leak Detector shows no evidence of a visual release. Is the entire piping system covered by the ALLD (including satellite pipe if present)? For an electronic ALLD, last record of passing 3.0-gph test result for each pipe is within the previous 72 hours. Does the STP shut off when the dispensers are not pumping.

ALLD Passes Inspection. Questions 2 – 8 are (P) or (PC) Note: If the answer to any question is (F), please explain below. List any problems noted during inspection. Note corrections *www.nwglde.org (National Work Group on Leak Detection Evaluations) COMMENTS:

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Section 13 Suspected Release Answer (Y)es or (N)o for 1 and if yes answer 2

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Do you suspect or have you detected a release during this inspection? Did you report this suspected or detected release to the Department?

[ ] Yes [ ] No

[ ] Yes [ ] No

DATE:

TIME:

Report all known or suspected spills or leaks Call Maryland Department of the Environment 410-537-3442 Or call: 1-866-633-4686 after business hours

GENERAL COMMENTS: _________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________

Please return original report no later than thirty (30) days after inspection date.

MDE Oil Control Program Suite 620 1800 Washington Blvd. Baltimore, MD 21230-1719

Questions? Call MDE Oil Control Program at 410-537-3442 I n t e r n e t : h t t p : / / w w w . m d e . s t a t e . m d . u s / P r o g r a m s / L a n d P r o g r a m s / O i l _ C o n t r o l / h o m e / i n d e x . a s p .

Inspector’s Initials Date

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Owner/Operator’s Initials Date

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__________

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Form Number: MDE/WAS/COM.055 Date: April 3, 2007 TTY Users: 800-735-2258

Facility I.D.

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