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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? IN 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 <br /> their proper operation? FRI El F] <br /> Was monitoring system set-up reviewed to ensure proper settings? Q n <br /> Was the monitoring panel's backup battery visually inspected , functionally tested , and confirmed operational ? X F Ej <br /> Does the flow of fuel stop at the dispenser if a leak is detected in the under-dispenser containment? Q <br /> Does the turbine automatically shut down if the piping secondary containment monitoring system fails to operate or is electrically <br /> disconnected ? El El FX] <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) <br /> E:1 Sump ❑ Under-Dispenser Containment <br /> If alarms are relayed to a remote monitoring station , is all communications equipment (e.g . , modem) operational? X El El <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 /> X. IN -TANK GAUGING TESTING <br /> QX 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 <br /> round faults? <br /> Were all in4ank gauging probes visually inspected for damage and residue buildup to ensure that floats move freely, functionally 1:1 1:1 El <br /> tested , and confirmed operational? <br /> Was accuracy of system's product level readings tested ? <br /> Was accuracy of system's water level readings tested? <br /> Were all probes reinstalled properly? <br /> Were all items on the equipment manufacturer's maintenance checklist completed? 10 El ❑ <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 /> Y = Yes, N = No, NA = Not Applicable <br />