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D. Results of Testing/Servicing <br />Software Version Installed: 329.01 <br />Complete the following checklist: <br />HECEIVEL) <br />MAY 01 2015 <br />• Yes <br />r No* <br />Is the audible alarm operational? =I%JVIHL)NMF TAI <br />+ Yes <br />r No* <br />Is the visual alarm operational? <br />G Yes <br />r No* <br />Were all sensors visually inspected, functionally tested, and confirmed operational? <br />0 Yes <br />r No* <br />Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with <br />heir ro er o eration? <br />fe Yes <br />r No* <br />If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) operational? <br />N/A <br />o Yes <br />C No` <br />For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment monitoring <br />( N/A <br />ystem detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut -down? (Check <br />all that apply)W Sump/Trench Sensors; r Dispenser Containment Sensors. <br />Did you confirm positive shut -down due to leaks and sensor failure/disconnection?r+ Yes; r No <br />* Yes <br />C" No* <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no mechanical overfill <br />C: <br />prevention valve is installed), is the overfill warning alarm visible and audible at the tank fill point(s) and operating properly? If <br />N/A <br />o at what percent of tank capacity does the alarm trigger? % <br />* Yes* <br />C No <br />Nas any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the <br />anufacturer name and model for all replacement parts in Section E below. <br />Yes* <br />C: No <br />as liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) <br />Product; r Water. If yes, describe causes in Section E below. <br />+ Yes <br />C No* <br />Nas monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if applicable <br />Yes <br />C. No* <br />s all monitoring equipment operational per manufacturer's specifications? <br />* In Section E below, describe how and when these deficiencies were or will be corrected. <br />v.r. battery replaced. die siphon jet valve replaced. <br />Monitoring System Certification Page 2 of 4 12/07 <br />