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UNDERGROUND STORAGE TANK MONITORING SYSTEM CERTIFICATION FORM VIII , MONITORING SYSTEM AND PROGRAMMING Y N NA This section must be completed if a monitoring panel is used to perform leak detection monitoring. ❑ ❑ ❑ Are the visual and audible alarms operational? [] ❑ ❑ Were all sensors visually inspected for kinks and breaks in the cables and for residual buildup to ensure that floats move freely, ❑ ❑ ❑ functional) tested , and confirmed o erational? Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their ❑ ❑ ❑ ro er o eration? ❑ ❑ Was monitoring system set-up reviewed to ensure proper settings? Was the monitoring panel backup battery visually inspected , functionally tested , and confirmed operational? ❑ ❑ ❑ anser spe Does the flow of fuel stop at the dispenser if a leak is d n tcontainnmenhe 't monitoring system tem fails to operate or is electrically n ❑ secondary ❑ Does the turbine automatically shut down if the piping ry detects a leak? ❑ ❑ ❑ disconnected? Does the turbine automatically shut down if the piping secondary containment monitoring Undenrldispenser containment [] Sump ❑ ❑ ❑ Which sensors initiate positive shut down? (Check all that apply.) g erational? If alarms are relayed to a remote monitoring station , is all communications equipment (e . modem) op de Foran answer of "N" above, describe in section IX o and when rencies were or will be correcfed. alone type sensors and only remove power to dispenses . Dispenser Sensors are all stand All dispenser sensors passed JAN GAUGING GAUGING TESTING Y N NA on Check this box if tank gauging is used onm equipment is installed , (Don tcomplete ths section ction.) ❑ orin Check this box if NO tank gauging q pund ❑ ❑ ❑ This section must be com leted if in-tank au in is used to erform leak detection monitorin . or Has all input wiring been inspected for kinks and breaks in the cables and for proper entry and terfloats (move freely9funct ognallygtested , ❑ ❑ ❑ faults? Were all in-tank gauging probes visually inspected for damage and residue buildup to ensure that ❑ ❑ ❑ and confirmed operational? ❑ ❑ ❑ Was accuracy of system's product level readings tested ? El accuracy of system's water level readings tested? ❑ ❑ ❑ Were all probes reinstalled properly? ❑ ❑ Were all items on the equipment manufacturers maintenance checklist completed? Foran answer of "N" above, describe in section XI ho)(wl and w enOMMENTciencies were or will be corrected. Y = Yes, N = No, NA = Not Applicable