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Monitoring System Certification <br /> NW <br /> D. Results of Testing/Servicing <br /> Software Version Installed: 123.02 <br /> Complete the follow n2 checklist: <br /> ® Yes ❑ No* Is the audible alarm operational? <br /> ® Yes ❑ No* Is the visual alarm operational" <br /> ® Yes ❑ No* Were all sensors visually insp:.tted,functionally tested,and confirmed operational? <br /> ® Yes ❑ No* Were all sensors installed at bravest point of secondary containment and positioned so that other equipment will <br /> not interfere with their proper 7peration? <br /> ❑ Yes ❑ No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g., modem) <br /> M N/A operational? <br /> ® Yes ❑ No* For pressurized piping systems; does the turbine automatically shut down if the piping secondary containment <br /> ❑ N/A monitoring system detects a leak, fails to operate,or is electrically disconnected? If yes: -which sensors initiate <br /> positive shut-down? (Check oll that apply) ® Sump/Trench Sensors; ® Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? ®Yes; ❑No. <br /> ® Yes ❑ No* For tank systems that utilize ;he monitoring system as the primary tank overfill warning device (i.e., no <br /> ❑ N/A mechanical overfill preventio,� valve is installed), is the overfill warning alarm visible and audible at the tank <br /> fill point(s)and operating properly? If so,at what percent of tank capacity does the alarm trigger? % <br /> ❑ Yes* M No Was any monitoring equipme-it replaced? If yes, identify specific sensors, probes,or other equipment replaced <br /> and list the manufacturer name and model for all replacement parts in Section E,below. <br /> ❑ Yes* ® No Was liquid found inside any s ondary containment systems designed as dry systems? (Check all that apply) <br /> ❑ Product; ❑ Water. If yes.i.icscribe causes in Section E,below. <br /> ® Yes ❑ No* Was monitoring system set-u , viewed to ensure proper settings?Attach set up reports, if applicable <br /> ® Yes ❑ No* Is all monitoring equipment operational per manufacturer's specifications? <br /> * In Section E below,describe how and when thea'deficiencies were or will be corrected. <br /> E. Comments: <br /> i <br /> r� <br /> Page 2 of 3 <br /> �V <br /> I <br />