Get Lineleakdetectortestequjipment Form

Completing the Lineleakdetectortestequjipment form online can seem daunting, but with clear instructions, the process can be streamlined. This guide will provide you with step-by-step assistance for accurately filling out the form and ensuring it meets ADEM requirements.

Follow the steps to successfully complete the form online.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred editor.
2. Begin filling out the form by entering the Facility ID in the designated field. This is a unique identifier assigned to your facility.
3. Next, provide the Facility Name, which is the official name of your testing facility. Include the Facility Address for accurate identification.
4. Indicate the Owner Name along with their Phone Number. This information is crucial for communication regarding the test.
5. Fill in the Testing Company Name and their Phone Number. This identifies the organization responsible for the test.
6. Specify the name of the person performing the test in the appropriate field to ensure accountability.
7. Record the Manufacturer of the Test Equipment along with the Model or Version being used for this testing procedure.
8. Circle the reason for the test from the provided options: New Installation, Annual Test, or Required by ADEM.
9. Enter the details for the Tank section. Input the Unique Tank Numbers (up to 6) corresponding to the tanks being tested.
10. Document the Substance Stored in the tanks and select the Piping Material - Steel, Fiberglass, or Flexible.
11. Include the Date of the Test, which should reflect when the testing was conducted.
12. Enter the Line Leak Detector Manufacturer and the Model Number specific to your test device.
13. Record the Measured Leak Rate in Gallons Per Hour (GPH) and mark whether the test result is a Pass, Fail, or Inconclusive.
14. At the end of the form, ensure to sign as the Tester and date the signature. This acts as a certification of the accuracy and compliance of the test results.
15. After completing the form, save your changes. You have the option to download, print, or share the completed form as needed.

Complete your document online today to ensure compliance and streamline your testing process.