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1211412015 15: 35 2095337676 A ONE GAS PANE 03!06 <br /> o, <br /> Monitoring System Certification <br /> - t <br /> A Results of xesting/Servici.lg <br /> Software Version Installed: ) <br /> Cam tete the foilowin checklist: J <br /> Yes ❑ No* Is tine audible alarm erational? <br /> ba Yes L3 No* Is the visual alarm operational? <br /> od Yes ❑ )10* Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> KYes ❑ Nub' Were all sensors iustalled at lowest point of secondary containment and positioned so that other equipment will <br /> not interfere with their proper operation? <br /> E] Yes E) No* If alarms are relayed to a remote monitoring station, is all communications equipment e.g., modem) <br /> P(N/A operational? <br /> if Yes ❑ No* For pressurized piping systems, docs the turbine,automatically shut down if the piping secondaty containment <br /> D N/A monitoring system detects a leak,fails to opte,or is electrically disconnected? If yes: -which sensors initiate <br /> positive shut-down? (Check all that apply) Sunnp/Trcmch Seusors; fK Dispenser Contaimient Sensors. <br /> Did you confirm positive shut-down due to leafs and.sensor failture/disconnection? X Yes; ❑No. <br /> ❑ Ycs ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i-e., no <br /> N/A meebanical overfill prevention valve is immlled), is the overfill warning alarm visible and audible at the tank <br /> fill point(s)and operating properly? If so,at what percvnt of tank:capacity does the alarm trigger? °ru <br /> ❑ Yes* N No Was any monitoring equipment replaced? If yes,identify specific sensors,probes,or other equipmem 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 secondary containment systems designed as dry systems? (Check all that apply) <br /> ❑Product; ater. 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 /> Y'es ❑ No* Is all monitorin equipment operational per manufacturer's specifications? <br /> w In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: <br /> r11+UO3G-3i6 www.unidoko.org Rev.03/17/08 <br />