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Underground Storage Tank <br /> Release Detection Equipment Testing Deport Form <br /> 5. MONITORING SYSTEM AND PROGRAMMING <br /> A separate Release Detection Equipment Testing Report Farm must be prepared for each <br /> monitoring system. <br /> IVlanufacturer of monitoring Model of Monitoring System Software Version Installed <br /> System Control Panel Control Panel <br /> Veed er-Root TLS-350 336.02 <br /> Attach the post-testing reports tf the rr onitofingr system is capable of generating Yes No NA <br /> either.- 0 !Monitoring System Set-up Report 0 Alarm History Report <br /> Is all release detection equipment that was tested operational per manufacturer's l ❑ <br /> specifications? <br /> Is the secondary containment free of damage, debris, or liquid? ❑ <br /> Are the release detection audible and visual alarms operational? ❑ <br /> Have all sensors been: 1) visually inspected far wiring kinks, breaks and residual E3 ❑ <br /> buildup on floats, and ) tested for functionality and confirmed operational? <br /> Are all sensors Gnstalied to detect a release at the earliest opportunity? ❑ ❑ <br /> Was the monitoring system setup reviewed, and proper settings confirmed? 1 CI Ca <br /> Was the monitoring system's backup battery visually inspected, functionally tested, ❑ ❑ <br /> and confirmed operational? <br /> Was it confirmed that the flow of hazardous substance stops at the dispenser if a El ❑ <br /> release is detected in the under-dispenser containment? <br /> Does the pressure supply pump automatically shut down if the piping secondary 13 ❑ <br /> containment monitoring system fails to operate or is disconnected? <br /> Does the pressure supply pump automatically shut down if the piping secondary <br /> containment monitoring system detects a release? Which sensors initiate positive 1 ❑ Cl <br /> shut down? (Check all that apply) ❑ Containment Sump Q UDC <br /> If release detection alarms are relayed to a remote monitoring renter, is all ❑ <br /> communication equipment operational? <br /> If there is any buried single-wall suction hazardous substance piping, was it <br /> confirmed rising the inspection method approved by the Unified Program Agency, E3 ❑ <br /> that.the pipe contents drain back into the UST if the suction iz released? <br /> Describe all answers marked "No"or "Fair'and the proposed remedy in Section B. <br /> List all equipment either replaced or repaired (including cleaning or adjustment) in Section 8. <br /> Page 2 of <br />