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UNDERGROUND STORAGE TANK <br /> MONITORING SYSTEM CERTIFICATION FORM(Page a of s) <br /> VIII. MONITORING SYSTEM AND PROGRAMMING _ <br /> This section must be completed if a monitoring panel is used to perform leak detection monitoring. Y N NA <br /> Are the visual and audible alarms operational? 0 ❑ ❑ <br /> Were all sensors visually Inspected for kinks and breaks In the cables and for residual buildup to ensure that floats move freely, O ❑ ❑ <br /> functionally tested and confirmed operational? <br /> Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not Interfere with n n n <br /> their proper operation? <br /> Was monitoring system set-up reviewed to ensure proper settings? ❑ ❑ <br /> Was the monitoring panel's backup battery visually inspected,functionally tested,and confirmed operational? 0 ❑ ❑ <br /> Does the fine,of fuel stop at the dispenser If a leak is delerled in the Under-disnanser rnntAnmeni? i%i ❑ F-1 <br /> Does the turbine automatically shut down if the piping secondary containment monitoring system fails to operate or Is electrically 1:1 El <br /> nx <br /> Does the turbine automatically shut down If the piping sec:undwy cmilahimenl monitoring system detects a leak? ❑ ❑ <br /> Which sensors initiate positive shut down? (Check all that apply.) 0 Sump ❑X under-Dispenser Containment <br /> If alarms are relayed to a remote monitoring station,is All communications equipment(e.g.,modem)operatlonal? ❑ ❑ <br /> For any answer of"N"above,describe in Section IX how and when these deficiencies were or will be corrected. <br /> IX. COMMENTS <br /> X. IN-TANK GAUGING TESTING <br /> ❑X Check this box If tank gauging is used only for inventory control.(Do not complete this section.) <br /> ❑Check this box if NO tank gauging equipment is installed.(Do not complete this section.) Y N NA <br /> This section must be completed if in-tank gauging is used to perform leak detection monitoring. <br /> Has all Input wiring been Inspected for kinks and breaks in the cables and for proper entry and termination, including testing for ❑ ❑ ❑ <br /> round faults? <br /> Were all in-tank gauging probes visually inspected for damage and residue buildup to ensure that floats move freely,functionally ❑ ❑ ❑ <br /> tested and confirmed operational? <br /> Was accuracy of system's product level readings tested? El ❑ ❑ <br /> Was accuracy of system's water level readings tested? ❑ ❑ ❑ <br /> Were all probes reinstalled properly? ❑ ❑ I ❑ <br /> Were all items on the equipment manufacturer's maintenance checklist completed? ❑ ❑ I ❑ <br /> For any answer of"N"above,describe in Section XI how and when these deficiencies were or will be corrected. <br /> XI. COMMENTS <br /> Y=Yes,N=No,NA=Not Applicable <br />