Laserfiche WebLink
Aug ail 09 08:59a Elite IV Contactors 120946 6342 p.4 <br />c, <br />Fac:Iity NameG.S*i2 i cstmg; �crvtc tag / r <br />Go tete the faifo checklist: <br />Yes <br />Q No, <br />IS the naonitoria s stents a atioaal maraufacsurcr's specifications*? <br />Yes <br />®No• <br />is the audible alarm o tional? <br />Yes <br />0 Nod° <br />Is the visual alarm t90aal? <br />Yes <br />Q No` <br />War all sensors visa inspected. mrsted, and confirmed o rational? <br />Yes <br />0 No• <br />Were all sensors and Rrobet reinstalled r crl ? <br />Yes <br />0 No' <br />Is all moni!2M& a to mcnt secured from unauthorized ? <br />0 Yes <br />® No` <br />if alatttrs are relayed to a remote rtaonitoriog station. is all communications cquipmcat (e.g. modem) <br />N/A <br />operational? <br />D Yes <br />13 No" <br />If needed by any monitoring equipment, arc replacement foics and/or batteries available? <br />rVA <br />16 Yes <br />Q No- <br />For ptcssurized piping systems. does the turbine automatically slut down if the piping secondary containment <br />0 N/A <br />monitoring system detects a leak, t'aiis to op te, or is lecttacally disc aaected? If yes: which sensors initiate <br />positive stint -down? {Check all char apply)[ . Seamg/Trench Sensors; Dispenscr containment Scasars. <br />Did you confirm positive shut -down due to MA sensor far7s:sldiscou=tson? Xcs; O No. <br />0 Yes <br />Q No® <br />For numaitoring systems neat also save. as tank overfill warning devices, is the ovciAll warning alum visible <br />N/A <br />and audible at the tank fill points) and. opesatiag properly? If so. at what percent of tunic capacity docs. the <br />alarm tri ? % <br />Yes' <br />Q No <br />Was any monnormg eRmpmeat replaced? If yes, identify specific sensors, probes, or other equipment replaced <br />and list the m1ulatfacturer mane and model for all replacement plas in Section Ebelow. <br />Yes <br />u No <br />Was any: terra software ded?" if M. identify the: new version number in Section E_ below. <br />Yes• <br />No <br />Was Iigttid found inside any secondary eontaxsm�at systems? (Check all char apply) ® Product; Q Water. If <br />describe causes is Section E. below. <br />In Section E below, describe how and when these deficiencies were or will be corrected_ <br />Psgc 3 of thla Certification mast be completed and attached only if one or more of the following condhimu are asset: l.) fn - <br />tank gauging equipment -la used to perform leak detection monitpring, 2_) Line leak detectors are inslallcd on piping systems -- <br />3.) Corepiction is r"utred by your total agency that regulates UST systems. <br />CALM -at Page 2 WZY" <br />