Laserfiche WebLink
Sep. 8. 2017 8:44AM Donlee Pump CO No, 8205 P, 3 <br /> Monitoring System Certineation <br /> DI <br /> A Results of TestioglServicing R <br /> Software Version Installed. SEP 0 8 2017 <br /> Com lete the rollowving checklist., ENVIBOLIMENIAL HEALT_ <br /> Z Yes 0 No* Is the audible alarm operational? DEPARTMENT <br /> —�Ye s 0 No* Is the visual alarm operational? <br /> if Yes 0 No* Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> M Yes [I No* Were all sensors installed at lowest point of secondary contaiument and positioned so that other equipment will <br /> not interfere with their proper operation? <br /> JR Yes 0 No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g,, modem) <br /> El NIA operational? <br /> I?Yes 0 No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br /> E] N/A monitoring system detects a leak,fags to operate,or is electrically disconnected? If yes--which sensors initiate <br /> positive shut-down? (Check all that apply) 0 Sumprftench Sensors;A Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failureldisconnection? %Yes; 0 No. <br /> 0 Yes 0 NO For tank system that utilize the monitoring system as the primary tank overfill warning device (i.e., no <br /> Q!F N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> fill point(s)and operating properly9 if so,at what percent of tank capacity does the alarm triggger? go % <br /> Cl Yes* ja 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 /> El Yes* 0 No Was liquid fbtuid inside any secondary containment systems designed as dry systems? (Check all that apply) <br /> 0 Product; 0 Water. if yes,describe causes in Section E,below. <br /> I,H Yes ❑ No* Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable <br /> .S Yes ❑ No* Is all monitoring equipment operational per manufacturer's specifications? <br /> In Section E below,describe how and when these deficiencies were or will be corrected, <br /> E. comme-nts: <br /> I LN-036-3/6 inny,"nidocs.org Rey.01/17108 <br />