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D. Results of Testing/Servicing <br />Software Version Installed: 329.01 <br />Complete the following checklist: <br />HECEIVED <br />APR 3 0 2015 <br />► : ► i , R ., <br />ro Yes <br />r No* <br />s the audible alarm operational? <br />• Yes <br />r No* <br />s the visual alarm operational? <br />G Yes <br />r No* <br />Nere all sensors visually inspected, functionally tested, and confirmed operational? <br />C: Yes <br />r No* <br />Nere all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with <br />heir proper operation? <br />(+` Yes <br />f No* <br />f alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) operational? <br />r N/A <br />Yes <br />r No- <br />For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment monitoring <br />C N/A <br />stem detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut -down? (Check <br />R11 that apply sump/Trench Sensors; P Dispenser Containment Sensors. <br />Did you confirm positive shut -down due to leaks and sensor failure/disconnection?r+ Yes; r No <br />C Yes <br />< No* <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no mechanical overfill <br />f: N/A <br />prevention valve is installed), is the overfill warning alarm visible and audible at the tank fill point(s) and operating properly? If <br />o at what percent of tank capacity does the alarm trigger? % <br />ii Yes* <br />f 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 />G 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 />f: Yes <br />f No* <br />as monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if applicable <br />* Yes <br />% No* <br />11s 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 />E. Comments: <br />v.r. battery replaced. die siphon jet valve replaced. <br />Monitoring System Certification Page 2 of 4 12/07 <br />