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Jun, 26, 2020 3:39PM Donlee Pump Co No, 4053 P. 5 UNDERGROUND STORAGE TANK MONITORING SYSTEM CERTIFICATION FORM(Page a of s VIII. MONITORING SYSTEM AND PROGRAMMING This section must be completed If monlfoftng panel Is used to perform leak detection monftoling. Y N NA Are the visual and audible alarms operational? ❑ ❑ Were all sensors visually Inspected for kinks and breaks in the cables and for residual bulldup to ensure that floals move freely, 11 E)functionally tested,and confinnod operalionai? Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not frlleffere with their ❑ ❑ proper operation? Was monlloring systern set-up reviewed to,ensure proper sellings? [] ❑ Was the monitoring panel's backup battery visually inspected,functlonally tested,and confirmed operational? ❑ ❑ Does the flow of fuel stop at the dispenser if a leak is delected in the under-dlspenser conlafnment? ❑ ❑ Does the turbine autornalically shut down if the piping secondary contablment monlloring system fails to operate or is electrically El [Jdisconnected? Does the turbine autolpaticafiy shut down if the piping secondary containment monitoring system detects a leak? ❑ ❑ Which sensors iniliale positive shut down? (Check all that apply.) Sump Under-dlspenser containment If alarms are relayed to a remote monitoring station,is all communications equipment(e.g,modem)operational? ❑ ❑ For any answer of"N"above,describe In section IX how-and when these deficiencies were or will be corrected. - IX. COMMENTS J:E ,Lpe_zFO ?Z.b CJri 9 /• C/4c,7-�t¢,nru)> A-1, r;r5rtp X. IN-TANK GAUGING TESTING Check this box if tank gauging is used only for Inventory control.(Do not complete this section.) ❑ Check lhls box If NO tank gauging equipment is installed.(Do not complete this section.) Y N NA This sectlon most be corn feted!f ln•tank au in is used fo eriorm leak detecflon monitorin . Has all input wiring been inspected for kinks and breaks in the cables and for proper entry and termination,including lesting for ground ❑ ❑ ❑ faults? Were all in-lank gauging probes visually inspected for damage and residue buildup to ensure that floats move freely,functlonally tested, ❑ ❑ ❑ and confirmed operational? Was accuracy of system's product level readings tested? ❑ ❑ ❑ Was accuracy of system's water level readings tested? ❑ ❑ ❑ Were all probes reinstalled property? ❑ ❑ ❑ Were all items on the equipment manufacturer's maintenance checklist completed? ❑ ❑ ❑ For any answer of"N"above describe/a section X1 how and when these deficiencies were or will he corrected. XI, COMMENTS Y=Yes.N=No.NA=Not Anollcable