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Jul , 2 . 2019 3106PM Donlee Pump Co No , 2195 P , 6 UNDERGROUND STORAGE TANK MONITORING SYSTEM CERTIFICATION FORM Page 4 of 6) VIII . MONITORING SYSTEM AND PROGRAMMING This sectlon must be completed if a monitoring panel is used to perform leak detection monitoring, Y N NA Are the visual and audible alarms operational? 0 ❑ ❑ Were all sensors visually Inspected for kinks and breaks in the cables and for residual buildup to ensure that ftoals move freely, ® ❑ ❑ functionally tested, and confirmed operational? Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not Interfere with their ® ❑ ❑ proper operation? _ Was monitoring system sel•up reviewed to ensure proper settings? m ❑ ❑ Was the monitoring panel's backup battery visually Inspected , functionally tested, and confirmed operational? M Cl ❑ Does the flow of fuel stop at the dispenser if a leak is detected In the under-dispensor containment? ® ❑ ❑ Does the turbine automatically shut down if the piping secondary containment monitoring system fails to operate or Is electrically ® ❑ ❑ disconnected ? Does the turbine aulomallcally shut doom if the piping secondary Containment monitoring system detects a leak? ® ❑ ❑ Which sensors Initiate positive shut down? (Check all that apply.) ® Sump ® Under-dispenser containment if alarms are relayed to a remote monitoring station, is ail communications equipment (e •g• modem) operational? ❑ ❑ i61 For any answer of "N" above, describe In section W how and when these deflolencles were or will be corrected. IX. COMMENTS I X, IN -TANK GAUGING TESTING not complete this section ® Check this box if tank gauging Is used only for Inventory control. (Do p ) ❑ Check Oils box if NO tank gauging equipment is Installed, (Do not complete this section.) Y N NA This section must he completed if in-tank augh) is used to perform leak defection monitoring, I Has all Input witfng been Inspected for kinks and breaks in the cables and for proper entry and termination , including testing for ground ❑ ❑ ❑ I faults? Were all indank gauging probes visually Inspected for damage and residue buildup to ensure that floats move freely, functionally tested, rno ❑ ❑ and confirmed operational? Was accuracy of system's product revel readings tested? 11 111Nas accuracy of system's water level readings tested? ❑ 11Were all probes reinstalled properly? ❑ [I Were all items on the equipment manufacturers maintenance checklist completed? ❑ p ❑ Forany answer of "N" above, desorlhe in sectlon Xl how and when these deficlericles were or will be corrected. XI . COMMENTS i I 1AL tHEAUC