Laserfiche WebLink
01/02/1995 03:27 2097546722 CALAVERAS ENV <br />%10&110r+rtg Syste CertlQation <br />Facility Name: `. <br />D. Results of Testing/Servicing <br />romnlete the fallnwina checklist: <br />FEALTFI <br />Mi'l-c—ANWA <br />Hate Ut tcSgng'Servictng: ( � <br />Ej Yes <br />Q No' <br />Is the monito system operational per trsanufactureT's s cificatious? <br />Yes <br />❑ No• <br />Is the audible alarm o tional? <br />Yes <br />❑ No' <br />Is the visual alarm tional? <br />Yes <br />❑ No' <br />Wen: all sensors visu inspected. tested, and confumed operadottal? -_-- <br />JZ'Ycs <br />U No' <br />Were all sensors and probes reinstalled r cri ? <br />13'Yes <br />0 No* <br />is 711 monitnnng egmpment 556'tared firom =authorized t nnv? <br />Yes <br />❑ No` <br />If alarms are relayed to a remote monitoring station_ is all communications equipment (e.g_ modem) <br />rQ <br />QVN/A <br />operational? <br />r Yes <br />Q No" <br />If needed by any monitoring equipment, are replacement fuses and/or batteries available? <br />Yes <br />D No- <br />For pressurized piping systems, does the turbine automatically shut down if the piping secoAdary containment <br />0 NIA <br />monitoring system detects a leak, fails to opcl:a or is electrically disconnected? If yes. which sensors initiate <br />positive shut -down? (Check all that apply) M Sump✓Trench Sensors; Q Dispenser Containment Sensors. <br />Did you confirm positive shut -down due to leaks "d sensor failum/disconatction?-iTYcs-, O No_ <br />`lcs <br />•..c -";0. <br />Fur ii:n�aaiYori�tlg Systems; dust _1sc ser•^ as tank cverfn": wa,r r-,. devi;-ea, the ovrrfill warning alum visible <br />Q N/A <br />and audible at the tank fill point(s) and operating properly? If so, at what percent of tank capacity docs the <br />alarm tri ? % <br />Yes' <br />13 No <br />Was any moaitormg equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced <br />and list the mantrfieturer name and model for all replacement parts in Section E below. <br />Cl Yes <br />M -No <br />Was any system softwareupgraded? If ycs, identify the new version number in Section E. belo-r <br />,.Ycs• <br />D No <br />Was liquid found inside any secondary contanuncat systems? (Check all char apply) GkProducr, Water. If <br />c. describe causes in Section E. below. <br />' In Section E below, describe how and when these de%ciencies were or will. be corrected_ <br />Page 3 of this Certification must be completed and attached only if one or more of the following conditions are met: l.) In - <br />tank gauging equipment Is used to perform leak detection monitoring; 2.) Line leak detectors are installed as piping systems: <br />3.) Completion is required by your local agency that regulates UST systems. <br />CALMAt Page 2 OWN" <br />