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UNDERGROUND STORAGE TANK <br /> MONIT BRING SYS7 EIi� CERTIFICATION FORM (Page 4 of s) <br /> VIII . MONIT®RING SYSTEM AND PROGRAMMING <br /> This section must be completed if a monitoring panel is used to perform leak detection monitoring. Y N NA <br /> Are the visual and audible alarms operational ? <br /> Were all sensors visually inspected for kinks and breaks in the cables and for residual buildup to ensure that floats move freely, ® 11 El <br /> 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 ® El L1their proper operation? <br /> Was monitoring system set up reviewed to ensure proper settings? <br /> Was the monitoring panel' s backup battery visually inspected, functionally tested , and confirmed operational? � <br /> ® ❑ ❑ I <br /> Does the flow of fuel stop at the dispenser if a leak is defected in the under-dispenser containment? V1 EJ ❑ <br /> Does theturbine automatically shut down if the piping secondary containment monitoring system fails to operate or is electrically ® 11disconnected? _ <br /> El <br /> Does the turbine automatically shut down if the piping secondary containment monitoring system detects a leak? ® El El <br /> sensors initiate positive shut down? (Check all that apply.) ® Sump ® Under-Dispenser Containment <br /> If alarms are relayed to a remote monitoring station , is all communications equipment (e g . , modem) operational? <br /> For any answer of "N" above, describe in Section IX how and when these deficiencies were or will be corrected. _ <br /> IX . COMMENTS <br /> Replaced TLS Battery for PM purpose . <br /> 4 � <br /> I <br /> _ X. INJANK GAUGING TESTING <br /> 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 ® ❑ <br /> ground faults? <br /> Were all in-tank gauging probes visually inspected for damage and residue buildup to ensure that floats move freely, functionally <br /> tested , and confirmed operational? ® ❑ ❑ ! <br /> Was accuracy of system's product level readings tested? ® ❑ ❑ <br /> Was accuracy of system's water level readings tested? El F1 <br /> Were all probes reinstalled properly? ® ❑ <br /> Were all items on the equipment manufacturer's maintenance checklist completed ? 0 <br /> For any answer of 'W" above, describe in Section X1 how and when these deficiencies were or will be corrected. — <br /> XI . COMMENTS <br /> 1 <br /> 4 <br /> Y = Yes, N = No, NA = Not Applicable <br />