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f <br /> UNDERGROUND STORAGE TANK <br /> MONITORING SYSTEM CERTIFICATION FORM (Page a of s <br /> VIII. MONITORING SYSTEM AND PROGRAMMING <br /> Fsectionust be completed If a monitoring panel Is used to perform leak detection monitoring. Y N NA <br /> vsuaanaudible alarms operational? Q ❑ I ❑ <br /> Were all sensors visually inspected for kinks and breaks in the cables and for residual buildup to ensure that floats move freely, ❑X ❑ ❑ <br /> functional?y tested, and confirmed operational? <br /> Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with [g ❑ Ei <br /> their proper operation? <br /> Was monitoring system set-up reviewed to ensure proper settings? XEl ❑ <br /> Was the monitoring panel's backup battery visually Inspected, functionally tested, and confirmed operational? Q ❑ El <br /> Does the flow of fuel stop at the dispenser if a leak is detected in the under4ispenser containment? 0 ❑ ❑ <br /> Does the turbine automatically shut down If the piping secondary containment monitoring system falls to operate or Is electrically Q El Eldisconnected? <br /> Does the turbine automatically shut down if the piping secondary containment monitoring system detects a leak? ® ❑ ❑ <br /> Which sensors initiate positive shut down? (Check all that apply.) ❑X Sump Q Under-Dispenser Containment <br /> If alarms are relayed to a remote monitoring station, is all communications equipment (e.g., modem) operational? ❑ Q <br /> For any answer of "N" above, describe In Section 1Xhow 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 /> ❑ Check this box if NO tank gauging equipment is Installed. (Do not complete this section.) Y N NA <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 ❑ [I El <br /> faults? <br /> Were all in•tank gauging probes visually inspected for damage and residue buildup to ensure that floats move freely, functionally ❑ 11 11 <br /> tested, and confirmed operational? <br /> Was accuracy of system's product level readings tested? ❑ I ❑ I El <br /> Was accuracy of system's water level readings tested? ❑ ❑ ❑ <br /> Were all probes reinstalled properly? ❑ ❑ I ❑ <br /> Were all Items on the equipment manufacturer's maintenance checklist completed? ❑ I ❑ I ❑ <br /> For any answer of "N" above, describe in Section X1 how and when these deNclencles were or will be corrected <br /> XI. COMMENTS <br /> i <br /> i <br /> j Y = Yes, N = Nov NA = NotAppkabie <br /> i <br />