COMPLIANCE INFO_2022 - Laserfiche WebLink

Home Browse Search

RECEIVED Underground Storage Tank JAN 7 20 ? ? Monitoring System Certification Form ENVIRONMENTAL 5 MONITORING SYSTEM AND PROGRAMMING T A separate Monitoring System Certification Form must be prepared for each control panel. Make of Monitoring System Model of Monitoring System Software Version Installed Control Panel Control Panel 329 . 01 VEEDER ROOT TLS 350 Attach the post-certification reports if the monitoring system is capable of generating Yes No NA either; Z Monitoring System Set- up Z✓ Alarm History Report All monitoring equipment is operational per manufacturer' s specifications ? ✓❑ ❑ Secondary containment systems are free of damage , debris , or liquid ? E ❑ Are the audible and visual alarms operational ? D✓ ❑ All sensors have been : 1 ) visually inspected for wiring kinks , breaks and residual ❑ F buildup on floats ; and 2 ) tested for functionality and confirmed operational ? Are all sensors installed to detect a release at the earliest opportunity in the ✓❑ ❑ ❑ secondary containment? The monitoring system set- up was reviewed , and proper settings confirmed ? ✓❑ ❑ ❑ Was the monitoring control panel ' s backup battery visually inspected , functionally ✓❑ ❑ ❑ tested , and confirmed operational? Does the flow of fuel stop at the dispenser if a release is detected in the under- ❑ El ❑✓ dispenser containment? Does the turbine automatically shut down if the piping secondary containmentrF3 Elmonitoring system fails to operate or is electrically disconnected ? Does the turbine automatically shut down if the piping secondary containment monitoring system detects a release? Which sensors initiate positive shut down ? ❑ ❑✓( Check all that apply) ❑ Sump E UDC If monitoring system alarms are relayed to a remote monitoring center , is all ❑ IZI communication equipment operational ? Describe all answers marked "No " or "Fail" and proposed remedy in Section 9. List all monitoring equipment either replaced or repaired in Section 9 Page 2 of 6