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UNDERGROUND STORAGE TAN MONITORING SYSTEM CERTIFIC ATION FORM VIII . MONITORING SYSTEM AND PROGRA OMING This section must be completed if a monitoring panel is used to perform leak detection monitoring Y N N/A Are the visual and audible alarms operational ? ® ❑ ❑ Were all sensors visually inspected for kinks and breaks in the cables and for residual buildup to ens re that floats ® ❑ ❑ move freely, functionality tested, and confirmed operational? Were all sensors installed at lowest point of secondary containment and positioned so that other eq ipment will not ® ❑ ❑ interfere with their proper operation ? Was monitoring system set- up reviewed to ensure proper settings? ® El El Was the monitoring panel's backup battery visually inspected, functionality tested, and confirmed o erational? ® ❑ ❑ Does the flow if fuel stop at the dispenser if a leak is detected in the under-dispenser containment? ❑ ❑ Does the turbine automatically shut down if the piping secondary containment monitoring system f ils to operate or ® El E] is electrically disconnected ? Does the turbine automatically shut down if the piping secondary containment monitoring system detects a leak? ® ElEl Which sensors initiate positive shut down? (Check all that apply) ® Sump ® Under—Dispenser Containment if alarms are relayed to a remote monitoring station, is all communications equipment (e . g ., mode ) operational ? ❑ ❑ For any answer of "N" above, describe in Section IX how and when these deficiencies were or will a corrected. IX. COMMENTS X . IWTANK 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 N/A This section must be completed if imtank gauging is used to perform leak detection monitoring. ❑ ❑ ❑ Has all input wiring been inspected for kinks and breaks in the cables and for proper entry and ter ination, including testing for ground faults? Were all In-tank gauging probes visually inspected for damage and residue build up to ensure that loats move El El 1:1 freely, functionally tested, and confirmed operational ? ❑ ❑ ❑ Was accuracy of system' s product level readings tested? ❑ ❑ ❑ 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? ❑ ❑ I ❑ For any answer of "N" above, describe in Section XI how and when these deficiencies were or wil be corrected. XI . COMMENTS i