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UNDERGROUND STORAGE TANK <br /> MONITORING SYSTEM CERTIFICATION FORM (Page 4 of 6) <br /> IX. 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? ® El <br /> Were all sensors visually inspected for kinks and breaks in the cables and for residual buildup to ensure that floats move freely, ® ❑ ❑ <br /> functionally 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 their M ❑ ❑ <br /> 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 M ❑ ❑ <br /> disconnected ? <br /> Does the turbine automatically shut down if the piping secondary containment monitoring system detects a leak? ® ❑ ❑ <br /> Which sensors initiate positive shut down? (Check all that apply.) ® Sump ® 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 "M' above, describe in section IX how and when these deficiencies were or will be corrected. <br /> X. COMMENTS <br /> This station has alarms that are monitored by Veeder- Root and during the monitoring certification <br /> they called to confirm why so many alarms were going off. <br /> i <br /> I <br /> XI . IN -TANK GAUGING TESTING <br /> ❑ 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 ground ® ❑ ❑ <br /> faults? <br /> Were all in-tank gauging probes visually inspected for damage and residue buildup to ensure that floats move freely, functionally tested , ® ❑ ❑ <br /> and confirmed operational? <br /> Was accuracy of system 's product level readings tested? ® ❑ ❑ <br /> Was accuracy of system 's water level readings tested? ® El El <br /> Were all probes reinstalled properly? ® ❑ ❑ <br /> Were all items on the equipment manufacturer's maintenance checklist completed? 01 ❑ ❑ <br /> For any answer of "M' above, describe in section XI how and when these deficiencies were or will be corrected. <br /> XII . COMMENTS <br /> Y c Yac_ N = No. NA c Not AnnUrahlp <br />