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UNDERGROUND STORAGE TANK MONITORING SYSTEM CERTIFICATION FORM (Page 4 of s) VIII . MONITORING SYSTEM AND PROGRAMMING _ This section must be completed if a monitoring panel is used to perform leak detection monitoring. Y N 9NA Are the visual and audible alarms operational? F D ❑ Were all sensors visually inspected for kinks and breaks in the cables and for residual buildup to ensure that floats move freely. O ❑ functional) tested , and confirmed operational ? Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with El 11their proper operation? 19 Was monitoring system set-up reviewed to ensure proper settings? ❑ ❑ Was the monitoring panel's backup battery visually inspected functionally tested and confirmed operational ? Q ❑ ❑ Does the flow of Tuel stop at the dispenser if a leak is detected in the under4spenser containment? Q ❑ ❑ Does the turbine automatically shut down if the piping secondary containment monitoring system fails to operate or is electrically a 1:1 Eldisconnected ? Does the turbine automatically shut down if the piping secondary containment monitoring system detects a leak? D 11 El sensors initiate positive shut down? (Check all that apply ) NSump ZUnder-Dispenser Containment If alarms are relayed to a remote monitoring station is all communications equipment (e g . modem) operational? Q ❑ ❑ For any answer of "N" above, describe in Section IX how and when these deficiencies were or will be corrected. IX . COMMENTS X. INJANK GAUGING TESTING ❑ Check this box if tank gauging is used only for inventory control . (Do not complete this section ) ❑ Check this box if NO tank gauging equipment is installed , (Do not complete this section ) Y N NA This section must be completed if in-tank gauging is used to perform leak detection monitorin . Has all input wiring been inspected for kinks and breaks in the cables and for proper entry and termination including testing for Q ❑ ❑ round faults? Were all in•lank gauging probes visually inspected for damage and residue buildup to ensure that floats move freely, functionally ❑ ❑ tested . and confirmed a erational7 Was accuracy of system's product level readings tested? ❑X ❑ ❑ Was accuracy of systems water level readings tested ? ❑X I ❑ ❑ Were all probes reinstalled properly? ❑X ❑ ❑ Were all items on the equipment manufacturers maintenance checklist completed? ❑X I ❑ ❑ For any answer of "N " above, describe in Section X1 how and when these deficiencies were or will be corrected. XI , COMMENTS Y = Yes. N = No, NA = Not Applicable I I l