COMPLIANCE INFO_1991-2008 - Laserfiche WebLink

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-.uunus eug �y,teru t,ertadacataoal Facility Name: Norms 76 ie ur IcsttngiServicing: 11/ 4 X02 D. Results of Testing/Servicing Complete the following checklist: Yes ❑ No* Is the monitoring s sternoperational per manufacturer's specifications'? ications'? 97 Yes ❑ No* Is the audible alarm operational? JO Yes ❑ No* Is the visual alarm operational? J] Yes ❑ No* Were all sensors visually inspected, tested, and confirmed operational? JO Yes ❑ No* Were all sensors and probes reinstalled properly.) J7 Yes ❑ No* Is all monitoring equipment secured from unauthorized tam erin ? 91 Yes El No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) ❑ N/A operational? M Yes ❑ No* If needed by any monitoring equipment, are replacement fuses and/or batteries available? ❑ N/A ❑ Yes CX No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment ❑ N/A monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes; which sensors initiate positive shut -down? (Check all that apply) ❑ Sump/Trench Sensors; ❑ Dispenser Containment Sensors. Did you conium positive shut -down due to leaks and sensor failure/disconnection? ❑ Yes; ❑ No. ❑ Yes ❑ No* For monitoring systems that also serve as tank overfill warning devices, is the overfill warning alarm visible CY. N/A and audible at the tank fill point(s) and operating properly? If so, at what percent of tank capacity does the alarm trigger? %, ❑ Yes* i� No Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name and model for all replacement parts in Section E, below. ❑ Yes IR No Was any system software upgraded? If yes, identify the new version number in Section E, below. ❑ Yes* 11 No Was liquid found inside any secondary containment systems? (Check all that apply) ❑ Product; ❑ Water. If es, describe causes in Section E, below. w oecuon r, oeaow, describe how and when these deficiencies were or will be corrected. E. Comments: impact valves tested Tested 12 Impact valves — O.K. nrnrTubes 6" from bottom of tanks, No positive shut down. Page 3 of this Certification must be completed and attached only if one or more of the following conditions are met: 1.) In - tank gauging equipment is used to perform leak detection monitoring; 2.) Line leak detectors are installed on piping systems: 3.) Completion is required by your local agency that regulates UST systems. CALM -01 Page 2 06/23199