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UNDERGROUND STORAGETANK <br /> MONITORING SYSTEM GERTIFICATiON FORM(Page 4 of$) <br /> VIII. MONITORING SYSTEM AND PROGRAMMING NA <br /> This section must be,completed If monitoring panel is used to perform leak detection monitoring. Y N <br /> Ara jW 13 <br /> the visual and audible alarms operational? ❑ <br /> Were all sensors visually Inspected for kinks and breaks In the cables and for rosidual buildup to ensure that floats move freely, ❑ ❑ <br /> functionally tested,and confirmed operational? <br /> Were 15 sensors installed at lowest paint of secondary containment and positioned so that other equipment will not interfere with their © ❑ <br /> pro— eA +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 /> Claes—the turbine automatically shut down if the piping secondary containment monitoring system fails to operate or is electrically ❑ ❑ <br /> disconnectad? <br /> Does the turbine automatically shutdown ifthe piping savondary containment monitoring system detects a leak? ❑ ❑ <br /> Which sensors initiate positive shutdown? (Check all that apply.) ❑Sump ❑Under-dispenses containment <br /> If alarrns are relayed to a remote monitoring station,is all communications equipment(e.g.modem)operational? ❑ ❑ <br /> Foran answerof"N"above -scribe In section!X how and when these defclendes were or will be corrected <br /> Ix. cOMI111N1 ST <br /> X. IN-TANK GAUGING TESTING <br /> �] Check this box if tank gauging is used only for inventory control.(0o 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 corn feted if in-tankiyattgIng 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 levef readings tested? ❑ ❑ <br /> Were all probes reinstalled properly? ❑ <br /> El <br /> Were all items on the equipment manufacturer's maintenance checklist completed? ❑ El <br /> Foran answerof"N"above describe in section X1 how and when these deficiencies were or will be corrected <br /> XI. COMMENTS <br /> Y-Yes,N-No,NA=NotApplicabie <br />