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UNDERGROUND STORAGE TANK MONITORING SYSTEM CERTIFICATION FORM(Page a of s) VIII. MONITORING SYSTEM AND PROGRAMMING This section must be completed if a monitoring panel is used to perform leak defection monitoring. Y N NA Are the visual and audible alarms operational? 0 ❑ ❑ Were all sensors visually inspected for kinks and breaks in the cables and for residual buildup to ensure that floats move freely O El El tested.and confirmed operational? Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with O 1-1 ❑ their ro er o eration? Was monitoring system set-up reviewed to ensure proper settings? a ❑ ❑ Was the monitoring panel s backup battery visually inspected functionally tested,and confirmed operational? X❑ ❑ ❑ Does the flow of fuel stop at the dispenser if a leak is detected in the under-dispenser containment? ❑ ❑ Does the turbine automatically shut down if the piping secondary conla nment monitoring system fads to operate or is electrically disconnected? N ❑ ❑ Does the turbine automatically shut down if the piping secondary containment monitoring system detects a leak? ❑ ❑ ❑ Which sensors initiate positive shut down? (Check all that apply) 0 sump ❑X Under-D spenser Containment If alarms are relayed to a remote monitoring station,is all common cations equipment(e g modem)operational? Q ❑ ❑ For any answer of"N"above,describe in Section IX how and when these deficiencies were or will be corrected. IX. COMMENTS X. IN-TANK GAUGING TESTING ❑Check this box if tank gauging is used only for inventory control {Do not complete this sectron} ❑Check this box if NO tank gauging equipment is installed.(Do not complete this section) Y N NA This section must be completed if in-tank gauging is used to perform leak detection moniforin . Has all input wiring been inspected for kinks and breaks in the cables and for proper entry and termination Including testing for O ❑ ❑ round faults? _ Were all in-tank gauging probes visually inspected for damage and residue buildup to ensure that floats move freely functionally tested.and confirmed operational? ❑X ❑ ❑ Was accuracy of system's product level readings tested? O ❑ ❑ Was accuracy of system's water level readings tested? Z ❑ ❑ Were all probes reinstalled properly? Q ❑ ❑ Were all items on the equipment manufacturer's maintenance checklist completed? ❑X ❑ ❑ For any answer of"N"above, describe in Section XI how and when these deficiencies were or will be corrected. XI. COMMENTS Y=Yes,N=No NA=Not Appi cable