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UNDERGROUNDSTORAGETANK <br /> MONITORING SYSTEM CERTIFICATION FORM <br /> VIII, MONITORING SYSTEM AND PROGRAMMING <br /> This section must be completed d a monitoring panel is used io perform leak detection manr[nrrnq Y N NA <br /> Aye;^e,Asual ant:audible atarrns oWaslor+al: <br /> Arty 5e�5�,rs WISuaay Inspected Tor kir&S and breaks in the cawes and for residual buildup to ensure that floats move f•eety <br /> btu, ".• and Canfnrrned btonpt? ❑ ❑ <br /> Vie <br /> 7nstalw at lowest point of secorsda y Contarrtment and petitioned so teal Other equtpmeol will not tnterkre with the+ <br /> 'ettan .J � ❑ <br /> Was* try system est-up rpwewed to ensure proper seSttrgs� y] ❑ <br /> Was the mondonng panel's baddup Datter:v s.atty inspected functionally tested and Wftrmed operational; ❑ ❑ <br /> Does the flaw of fuer stop at the dtspense• '.: i�N Is deleaed.n the underdtspenser containment? 0 ❑ 0 <br /> Does the tumam autornatrcasy ShLlt down otthk piping secondary confammtent monRosng system fails to overate or is e*ctncatty <br /> disconnected? 19 ❑ ❑ <br /> Does the tunbme automabcaRy shut dflwn d the pining seconcary om1mrvnent mcnRtxmg systems deleds a teak' <br /> Whtdt sensors Inmate positNe shut down? {brooky tftw apply; El Sump ❑Under-dnspenser contair herr ❑ ❑ ❑ <br /> ti ala rrns are relayed to a remote nanelonng sfal:on-is an comrnur4muins equtpmert(e g modern)wrat)onar (] ❑ ❑ <br /> Foran answer of"N"above,describe in section IX how and waren these defitiencies were or w H)be eorrecred. <br /> Ix. COMMENTS <br /> X. IN-TANK GAUGING TESTING - <br /> Ct>erck this Dox if tank gaugrlg is usel @;lly cur cn, ••t corrCl ft7A ta[vv7rrrF lefe'^:5 SeCr g - <br /> Chertt this Wx if NO tank oauging equipment is ns•a ed.{Do not compwa this sect Y N NA <br /> Phis section must be complated of in-tank Aauginy is used roAerlyrrn lealr de[•tAdrr moniturrn <br /> rias a'rl input winng bt-en Inspected tv kinks ano breaks in the caw"and for woger entry aria term:natron :nc:Ud Ig tes1,rg+ ,r d <br /> lauds? <br /> :':ere ail in-tank gaug,ng probes visually inspe-ted for darnage and residue twlidup to ensure that floats move tteely hrn[itiOnaity tested <br /> a-i]corz5rmed n�eraltanal? !, <br /> Was accuracy ofsystern S product level read,rgs Tested? — - <br /> .Jas accuracy of system's water level readings temer <br /> Jere 811 probes reinstakd property? ' ❑ <br /> Viten aH Reins on the equipment manufacturer s rnaintenante rheddksl completed? -` <br /> G 7 ❑ <br /> Fc■:n• answer of"N"above describe In section Xt how and where(hese de ticPerncieS were ar MH be tampered <br /> xl.� COMMENTS <br /> -a <br /> 'e=vas N=NOL NA=Not Applicable <br /> SCANNER <br /> ODYSSEY APPS <br />