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Page 2/3 <br /> o. Results of Testing/Servicing I E '.E.IV <br /> ED <br /> Software Verson Installed: 328.01 0,"T 12 2017 <br /> Complete the followin checklist: v' .J <br /> ® Yes ❑ No' Is the audible alarm operational? t , <br /> ® Yes ❑ No' Is the visual alarm operational? , J E H V1 11: <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 not interfere with their proper <br /> operation? <br /> ❑ Yes ❑ No* If alarms are relayed to a remote monitoring station,is all communications equipment(e.g.,modem)operational? <br /> ® WA <br /> Yes ❑ No' For pressurized piping systems,does the turbine automatically shut down if the piping secondary containment monitoring system detects a leak, <br /> ❑ WA fails to operate, or is electrically disconnected? If yes:which sensors initiate positive shut-down? (Check all that apply) ❑Sump/Trench <br /> Sensors; M Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks And sensor feilure/cisconnection? ®Yes; ❑No. <br /> ❑ Yes ❑ No' For tank systems that utilize the monitoring system as the primary tank overfill warning device(.e.,no mechanical overfill prevention valve is <br /> ® WA installed),is the overfill warning alarm visible and audible at the tank fill point(s)and operating properly? If so,at what percent of tank capacity <br /> does the alarm trigger? % <br /> ❑ Yes ® No Was any monitoring equipment replaced? If yes,identify specific sensors,probes,or other equipment replaced and list the manufacturer name <br /> and model for all replacement parts in Section E,below. <br /> []Yes* ® No Was liquid found inside any secondary containment systems designed as dry systems? (Cheek aB that apply) <br /> ❑Product; ❑Water. If yes,describe causes in Section E,below. <br /> ® Yes ❑ No' Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable <br /> ® Yes ❑ No' Is all monitoring equipment operational per manufacturees specifications? <br /> "In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: AST TANKS. ALL SENSORS PASSED <br /> Monitoring System Certification Pepe 2 of 3 2/21107 <br />