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Underground Storage Tank <br /> Monitoring System Certification Form <br /> 5. MONITORING SYSTEM AND PROGRAMMING <br /> A separate Monitoring 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 /> & - 3 3C • ©1 <br /> Attach thepost-certification reports if the,.monitoring system is capable of generating Yes No NA <br /> either; VMonitoring System Set-up VAlarm History Report <br /> All monitoring equipment is operational per manufacturer's specifications? ❑ <br /> Secondary containment systems are free of damage, debris, or liquid? ❑ <br /> Are the audible and visual alarms operational? ❑ <br /> All sensors have been: 1) visually inspected for wiring kinks, breaks and residual V�' ❑ ❑ <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 ❑ ❑ <br /> secondary containment? <br /> The monitoring system set-up was reviewed, and proper settings confirmed? ❑ ❑ <br /> Was the monitoring control panel's backup battery visually inspected, fInde <br /> ❑ <br /> tested, and confirmed operational? <br /> Does the flow of fuel stop at the dispenser if a release is detected in th ❑ <br /> dispenser containment? <br /> Does the turbine automatically shut down if the piping secondary conta ❑monitoring system fails to operate or is electrically disconnected? <br /> Does the turbine automatically shut down if the piping secondary contamonitoring system detects a releaasy? Which sensors initiate positive s ❑(Check all that apply) Sump CVt'UDC <br /> If monitoring system alarms are relayed to a remote monitoring center, <br /> communication equipment operational? <br /> Describe all answers marked "No"or "Fail" and proposed remedy in Section 9. <br /> List all monitoring equipment either replaced or repaired in Section 9 <br /> Page 2 of 6 <br />