Laserfiche WebLink
Underground Storage Tank <br /> Monitoring System Certification Form <br /> 5. MONITORING SYSTEM AND PROGRAMMING <br /> A separate Monitorings System Certification Form must be prepared for each control panel. <br /> Make of Monitoring System Model of Monitoring System Software Version Installed <br /> Control Panel Control Panel <br /> Veeder Root TLS-350R 326.02 <br /> Attach the post-certification reports if the monitoring system is capable of generating Yes No NA <br /> either, LJ Monitoring System Set-up R1 Alarm History Report <br /> All monitoring equipment is operational per manufacturer's specifications? 0 Lj <br /> Secondary containment systems are free of damage, debris, or liquid? 0 ❑ <br /> Are the audible and visual alarms operational? z ❑ <br /> All sensors have been: 1) visually inspected for wiring kinks, breaks and residual z ❑ El <br /> buildup on floats; and 2)tested for functionality and confirmed operational? <br /> Are all sensors installed to detect a release at the earliest opportunity in the 0 J L) <br /> secondary containment? <br /> The monitoring system set-up was reviewed, and proper settings confirmed? 0 ❑ Lj <br /> Was the monitoring control panel's backup battery visually inspected,functionally 0 ❑ l❑ <br /> tested, and confirmed operational? <br /> Does the flow of fuel stop at the dispenser if a release is detected in the under- ❑ <br /> dispenser containment? <br /> Does the turbine automatically shut down if the piping secondary containment ❑ Lj 0 <br /> monitoring system fails to operate or is electrically disconnected? <br /> Does the turbine automatically shut down if the piping secondary containment <br /> monitoring system detects a release? Which sensors initiate positive shut down? ❑ Ll R) <br /> (Check all that apply) LJSump ❑ UDC <br /> If monitoring system alarms are relayed to a remote monitoring center, is all L] L) <br /> communication equipment operational? <br /> Describe all answers marked "No"or Fail"and proposed remedy in Section 9. <br /> List all monitorings equipment either replaced or repaired in Section 9 <br /> Page 2 of 6 <br />