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UNDERGROUND STORAGE TANK <br /> MONITORING SYSTEM CERTIFICATION FORM <br /> VIII . MONITORING 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 ? El El ❑ <br /> Were all sensors visually inspected for kinks and breaks in the cables and for residual buildup to ensure that floats move freely, ❑ ❑ <br /> functional ) 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 their 91 El ❑ <br /> proper operation? <br /> Was monitoring system set-up reviewed to ensure proper settings? E El El <br /> Was the monitoring panel's backup battery visually inspected , functionally tested , and confirmed operational? (] ❑ El <br /> Does the flow of fuel stop at the dispenser if a leak is detected in the under-dispenser containment? (] ❑ ❑ <br /> Does the turbine automatically shut down if the piping secondary containment monitoring system fails to operate or is electrically ❑ ❑ <br /> disconnected? <br /> Does the turbine automatically shut down if the piping secondary containment monitoring system detects a leak? ❑ ❑ <br /> Which 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 ? [i] ❑ ❑ <br /> Foran answer of "N" above, describe in section IX how and when these deficiencies were or will be corrected. <br /> IX. COMMENTS <br /> E <br /> 4 <br /> S <br /> X. IN -TANK GAUGING TESTING <br /> Fal 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 ground En ❑ ❑ <br /> faults ? <br /> Were all in-tank gauging probes visually inspected for damage and residue buildup to ensure that floats move freely, functionally tested, ❑ ❑ <br /> and confirmed operational ? <br /> Was accuracy of system's product level readings tested? I] ❑ ❑ <br /> Was accuracy of system's water level readings tested? ❑ ❑ <br /> Were all probes reinstalled properly? ❑ ❑ <br /> Were all items on the equipment manufacturer's maintenance checklist completed ? I] ❑ ❑ <br /> For any answer of "N" above, describe in section XI how and when these deficiencies were or will be corrected. <br /> XI . COMMENTS <br /> Probes were still tested . <br /> Y = Yes, N = No, NA = Not Applicable <br />