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Munituring ;System Certixieation <br />DEC � 1.2013 <br />D. Results of Testing/Servicing HEALTH C <br />Software Version installed: <br />complete the foUowin checkst. <br />Yea ❑ No* <br />is the =dffate alarm operatio W7 <br />Yes [] No <br />Is the visual alarm operational? <br />Yes ❑No; <br />WerB all sensors viQuatly insPected, ;fimctioually tcatod, ami contltilled operational? <br />Yes ❑ N0' <br />W ere all sensors Wstalled at lowest point of secondary containment and positioned so that <br />o <br />.not interfere with their proper operation? <br />equipment wi1.1 <br />❑ Yes p No* <br />N/A <br />If alarms are relayed to a remote monitoring station, is all communications equipm <br />operational? <br />�tnodrm) <br />Yes Cl NO <br />❑ N/A <br />For pressurized piping systems, does the turbine auronL14cally shut down if the piping secoIse <br />monitoring systew detects a leak, fails to is <br />comm meat <br />operate, or electrically disconnected? If yes: -whinsors <br />positive shut -down? (Check all Chat apply) 0 SUMP/ 1`rench Sensors; ]t Dispenser <br />initiate <br />mom. <br />bid you confirm positive shut -down due to leaks pd sensor failure/disconnection? jf Yes; 0YOS <br />❑ No* <br />For tank systems that utilia moIIltpiutg systeal es theNIA, mech=ical overfill evention valve is installed ly Uink avet'<Yll warningine <br />Pr ), is <br />(Lem no <br />J'w <br />the overfill warniaS alarm visible ttnd <br />bill poi*s) and operating properly+? If so, at what percent of tank capacity doers the alarm and <br />�ble at the tusk <br />o <br />d Yes* No <br />_ <br />Was any mouitormg equipment replaced? If yes, idea ' iRc sensors <br />�' , Pubes, or other eq <br />and list the manufachuer name and for <br />,5 <br />replaced <br />CI Yes* No <br />model all replacement parts in Section $, below. <br />Was liquid found insidean sown <br />Y dart' contaznment <br />systems designed as dry systems? (Check i <br />❑ Product; ❑ Water. If yes, descrihe causes in Section E, below, <br />that apply) <br />Yes Q NO <br />Yes q No* <br />Was monitoring system set-up reviewed to ensure PrOPer ttiogs? Attach et rip reports, if app <br />is all monitoring equipment operational <br />le <br />per ma�quf ketwer'sespeci& s? <br />* In Section E below, describe liow and when these deficiencies <br />were or will be corrected. <br />trv-o36 — 3V6 <br />TT/: U 39VJ 11003 SV9 3hd0 9L9L9-960 Z GV:VT CT07,i1T/ZT <br />