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I <br />UNDERGROUND STORAGE TANK <br />MONITORING SYSTEM CERTIFICATION FORM (Page 4 of 6) I <br />VIII. MONITORING SYSTEM AND PROGRAMMING <br />This section must be completed if a monitoring panel is used to perform leak detection monitoring. Y N NA <br />Are the visual and audible alarms operational? m D <br />Were all sensors visually inspected for kinks and breaks in the cables and for residual buildup to ensure that floats move freely, <br />functionally tested, and confirmed operational? <br />x <br />Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with <br />their proper operation? 1-ol n <br />Was monitoring system set-up reviewed to ensure proper settings? ElLI D <br />Was the monitoring panel's backup battery visually inspected, functionally tested, and confirmed operational? X li <br />Does the flov./ of fuel stop at the dispenser If s !Pak is detected in the iinrier-ritspensnr nontaloment? Z 0 0 <br />Does the turbine automatically shut down if the piping secondary containment monitoring system fails to operate or is electrically <br />&cow reeled? CI x <br />Does the turbine automatically shut down If the piping sec:unduly containment monitoring system detects a leak? <br />D] Which sensors initiate positive shut down? (Check all that apply.) X Sump X Under-Dispenser Containment <br />If alarms are relayed to a remote monitoring station, Is all communications equipment (e.g., modem) operational? U 0 in <br />For any answer of "N" above, describe in Section IX how and when these deficiencies were or will be corrected. <br />IX. COMMENTS <br />X. IN-TANK GAUGING TESTING <br />X Check this box if tank gauging is used only for inventory control. (Do not complete this section.) <br />Y N NA El Check this box if NO tank gauging equipment is installed. (Do not complete this section.) <br />This section must be completed if in-tank gauging 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 <br />ground faults? <br />• <br />Were all in-tank gauging probes visually inspected for damage and residue buildup to ensure that floats move freely, functionally <br />tested, and confirmed operational? <br />Was accuracy of system's product level readings tested? 0 <br />Was accuracy of system's water level readings tested? <br />Were all probes reinstalled properly? <br />Were all items on the equipment manufacturer's maintenance checklist completed? 111 LI El <br />For any answer of "N" above, describe in Section XI how and when these deficiencies were or will be corrected. <br />XI. COMMENTS <br />Y = Yes, N = No, NA = Not Applicable