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Monitoring System Certification <br /> D. Results of Testing/Servicing <br /> Software Version Installed: Z� / <br /> Comlete the following checklist: <br /> Yes O No* Is the audible alarm o erational? <br /> Yes ❑ No Is the visual alarm operational? <br /> Yes ❑ No* Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> Yes ❑ No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will <br /> not interfere with their proper operation? <br /> ❑ Yes ❑ No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> 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 all that apply) 1 Sump/Trench Sensors; Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to le2ks and sensor fulure/dischnnection? Yesi ❑No. <br /> Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br /> ❑ N/A mechanical overfill prevention 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 erten of tank capacity does the alarm trigger? <br /> ❑ Yes* No Was any monitoring equipment replaced? If yes,identify specific sensors,probes,or other equipmen replaced <br /> and list the manufacturer name and model for all replacement arts in Section E,below. <br /> ❑ Yes* No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) ❑ <br /> Product; ❑Water. If es,describe causes in Section E,below. <br /> Yes ❑ No* Was monitorin s tem set-upreviewed to ensure ro er settin s?Attach set u re orfs,if a livable <br /> Yes - ❑ No* Is all monitoring equipment oerational per manufacturer's specifications? <br /> Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: <br /> UN-036-2/4 Page 2 of 3 Rev.06/04/01 <br /> www.unidocs.org <br />