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UNDERGROUND STORAGE TANK <br /> MONITORING SYSTEM CERTIFICATION FORM(Page 4of6) <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, 1:1 El <br /> 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 ❑ ❑ <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? ❑ ❑ <br /> Does the flow of fuel stop at the dispenser if a leak is detected in the under-dispenser containment? ❑ ❑ <br /> Does the turbine automatically shut down if the piping secondary containment monitoring system fails to operate or is electrically E] 1:1 a <br /> disconnected? <br /> Does the turbine automatically shut down if the piping secondary containment monitoring system detects a leak? El El ❑ <br /> Which sensors initiate positive shut down? (Check all that apply.) El sump Elunder-DispenserContainment <br /> If alarms are relayed to a remote monitoring station, is all communications equipment(e.g., modem)operational? Z ❑ ❑ <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 /> 0 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 11 El 1:1round faults? <br /> Were all in-tank gauging probes visually inspected for damage and residue buildup to ensure that floats move freely, functionally El F-1 Eltested,and confirmed operational? <br /> Was accuracy of system's product level readings tested? ❑ ❑ ❑ <br /> Was accuracy of system's water level readings tested? ❑ ❑ ❑ <br /> Were all probes reinstalled properly? ❑ ❑ ❑ <br /> Were all items on the equipment manufacturer's maintenance checklist completed? ❑ ❑ ❑ <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 />