COMPLIANCE INFO_2019 - Laserfiche WebLink

Home Browse Search

Y = Yes, N = No, NA =Not Applicable UNDERGROUND STORAGE TANK MONITORING SYSTEM CERTIFICATION FORM (Page a of 6) 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? 0 ❑ ❑ Were all sensors visually inspected for kinks and breaks in the cables and for residual buildup to ensure that floats move freely, functionally tested, and confirmed operational? 0 ❑ ❑ 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 set-up reviewed to ensure proper settings? 0 ❑ ❑ Was the monitoring panel's backup battery visually inspected, functionally tested, and confirmed operational? 0 ❑ ❑ Does the flow of fuel stop at the dispenser if a leak is detected in the under -dispenser containment? 0 ❑ ❑ Does the turbine automatically shut down if the piping secondary containment monitoring system fails to operate or is electrically disconnected? 0 ❑ ❑ Does the turbine automatically shut down if the piping secondary containment monitoring system detects a leak? Which sensors initiate positive shut down? (Check all that apply.) 0 Sump ❑X Under -Dispenser Containment 0 ❑ ❑ If alarms are relayed to a remote monitoring station, is all communications equipment (e.g., modem) operational? 0 ❑ ❑ For any answer of "N" above, describe in Section IX how and when these deficiencies were or will be corrected. IX. COMMENTS X. IN -TANK 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.) This section must be completed if in -tank gauging is used to perform leak detection monitoring. Y N NA Has all input wiring been inspected for kinks and breaks in the cables and for proper entry and termination, including testing for round faults? 0 ❑ ❑ Were all in -tank gauging probes visually inspected for damage and residue buildup to ensure that floats move freely, functionally tested, and confirmed operational? ❑X ❑ ❑ Was accuracy of system's product level readings tested? ❑X ❑ ❑ Was accuracy of system's water level readings tested? ❑X ❑ ❑ Were all probes reinstalled properly? ❑X ❑ ❑ Were all items on the equipment manufacturer's maintenance checklist completed? IN ❑ I ❑ For any answer of "N" above, describe in Section Xi how and when these deficiencies were or will be corrected. XI. COMMENTS ki R E C I Xti r E-- D APR 9 2019 ENVIRONMENTAL HEALTH DEPARTMFNT Y = Yes, N = No, NA =Not Applicable