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UNDERGROUND STORAGE TANK MONITORING SYSTEM CERTIFICATION FORM (Pape 4 of 61 VIII . MONITORING SYSTEM AND PROGRAMMING This section must be completed if a monitoring panel is used to perform leak detection monitoring. Y N NA Are the visual and audible alarms operational? F1 I Were all sensors visually inspected for kinks and breaks in the cables and for residual buildup to ensure that floats move freely, ® 1:1 ' El tested , and confirmed operational ? Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with Q 1:1 EJ their proper operation? Was monitoring system set-up reviewed to ensure proper settings? ® ❑ ❑ Was the monitoring panel' s backup battery visually inspected , functionally tested , and confirmed operational ? ® ❑ 0 boes the flow of fuel stop at the dispenser If a leak is detected in the under-dispenser containment? Q ❑ ❑ Does the turbine automatically shut down if the piping secondary containment monitoring system fails to operate or is electrically ® ❑ F]disconnected? _ _ Doessthe turbine automatically shut down if the piping secondary containment monitoring system detects a leak? Which sensors initiate positive shut down? (Check all that apply.) ® ❑ ❑ Q Sump ❑ Under-Dispenser Containment If alarms are relayed to a remote monitoring station , is all communications equipment (e. g . , modem) operational? W1 1:1 El For any answer of "N" above, describe in Section IX how and when these deficiencies were or will be corrected, IX. COMMENTS Replaced TLS battery for PM Purpose , i r I i i I X. IN-TANK GAUGING TESTING Q 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 cVaugin0 is used to perform leak defection monitoring. Has all input wiring been inspected for kinks and breaks in the cables and for proper entry and termination , including testing for ❑ ❑ ❑ ground faults? Were all in-tank gauging probes visually inspected for damage and residue buildup to ensure that floats move freely, functionally ❑ ❑ ❑ i I tested , and confirmed operational? -- - — - - — - _ j Was accuracy of system's product level readings tested? j ❑ ❑ ❑ ` Was accuracy of system's water level readings tested ? ❑ ❑ ❑ Were all probes reinstalled properly? ❑ ❑ ❑ Were all items on the equipment manufacturer's maintenance checklist completed ? ❑ Q ❑ For any answer of "N" above, describe in Section Xi how and when these deficiencies were or will be corrected. XI . COMMENTS i i I} Y = Yes, N = No, NA = Not Applicable G i i