Laserfiche WebLink
- -, ,.,:�.,.t'wg:�y.rew�eruucauon • • <br /> Facility Name: Bob Cat Central Dam t i estmgiServtcmg: 9 / 8 /--0 0 <br /> D. Results of Testing/Servicing <br /> Com Icte the foilo ing checklist: _ <br /> OD Yes ❑ No* Is the monitorings stem o crauonal per manufacturer's specifications? <br /> 1 Yes ❑ No* Is the audible alarm operational, <br /> Yes ❑ No* Is the visual alarm operational? <br /> Yes ❑ No* Were all sensors visually inspected. tested,and confirmed operational? <br /> ® Yes Cl No* Were all sensors and probes reinstalled properly? <br /> ❑ Yes XI No* Is all monitoring equipment secured from unauthorized tampering? <br /> ❑ Yes ❑ No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> )0 N/A operational? <br /> M Yes ❑ No* If needed by any monitoring equipment, are replacement fuses and/or batteries available? <br /> ❑ N/A <br /> ❑ Yes X1 No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br /> ❑ N/A monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate <br /> positive shut-down? (Check all that apply) ❑ Sump/Trench Sensors; ❑Dispenser Containmer t Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? ❑ Yes; ❑No. <br /> Cl Yes Cl No* For monitoring systems that also serve as tank overfill warning devices, is the overfill warning alarm visible <br /> %] N/A and audible at the tank fill point(s) and operating properly? If so. at what percent of tank ca aciry does the <br /> alarm trigger? % Ij <br /> ❑ Yes* $] No Was any monitoring equipment replaced? If yes, identify specific sensors,probes,or other equipment replaced <br /> and list the manufacturer name and model for all replacement parts in Section E,below. <br /> Cl Yes )Q No Was any system software upgraded? If yes, identifv the new version number in Section E,below. <br /> ❑ Yes* XI No Was liquid found inside any secondary containment systems? (Check all that apply) ❑ Product; ❑ Water. If <br /> es,describe causes in Section E.below, <br /> * In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments- <br /> Page 3 of this Certification must be completed and attached out%, if one or more of the following conditions are met: 1.) In- <br /> tank gauging equipment is used to perform leak detection monitoring; 2.) Line leak detectors are installed on piping systema: <br /> 3.) Completion is required by your local agencv that regulates UST systems. <br /> CALdt-lll Page 2 ofd'1:4o <br />