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UNDERGROUND STORAGE TANK <br /> MONITORING SYSTEM CERTIFICATION FORM (Page 4 of 6) <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? P r r <br /> Were all sensors visually inspected for kinks and breaks in the cables and for residual buildup to ensure that floats F r r <br /> move freely,functionally tested, and confirmed operational? <br /> Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not r r- <br /> interfere with their proper operation? <br /> Was monitoring system set-up reviewed to ensure proper settings? r r r <br /> Was the monitoring panel's backup battery visually inspected, functionally tested, and confirmed operational? P r r <br /> Does the flow of fuel stop at the dispenser if a leak is detected in the under-dispenser containment? r r r <br /> Does the turbine automatically shut down if the piping secondary containment monitoring system fails to operate or is r F- 17- <br /> electricall disconnected? <br /> Does the turbine automatically shut down if the piping secondary containment monitoring system detects a leak? F- r <br /> Which sensors initiate positive shut down? Check all that apply.) r Sump r Under-dispenser containment <br /> If alarms are relayed to a remote monitoring station, is all communications equipment(e.g. modem) operational? <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 /> Use this section to provide any additional comments about the inventory of the equipment certified. <br /> X. IN-TANK GAUGING TESTING <br /> r Check this box if tank gauging is used only for inventory control. (Do not complete this section.) <br /> r 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 r r r <br /> testing for ground faults? <br /> Were all in-tank gauging probes visually inspected for damage and residue buildup to ensure that floats move freely, r r r <br /> functionally tested, and confirmed operational? <br /> Was accuracy of system's product level readings tested? r r r <br /> Was accuracy of system's water level readings tested? r r r <br /> Were all probes reinstalled properly? r r r <br /> Were all items on the equipment manufacturer's maintenance checklist completed? r r r <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 /> Use this section to provide any additional comments about the inventory of the equipment certified. <br /> Y=Yes, N = No, NA= Not Applicable <br />