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Mott�arin#1System certification iriE/'"0EIVE l <br />JAN 0 2 2015 <br />D. Results of Testing/Servicing <br />ENVIRONMENTAI �. <br />Software Version bistalled; <br />Cam tete the following checklist: <br />UCl No* is the audible alarm operational.? <br />14 E3 Nu* Is thevisual alarm operational? D No* Were all sensors visually inspected, functionally tested, and confirmed operational? <br />Q 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 />FYQ5 l� No*If alarms arc relayed to a remote monitoring station, is all communications equipment (e,g., modern) <br />N/A operational? <br />[� No* For pressurized piping systems, does the turbine automatically shut down. if the piping secondary containment <br />1 NIA monitoring system detects a leak, <br />fails <br />to op, <br />te, oris electrically disconnected? If yes: -which sensors initiate <br />positive shut -down? (Check all that apply) k $ump/Trench Sensors; Q Dispenser .ontainment Sensors, <br />Did you cOnfn7n positive shut - down due t� ltaks <br />an Sensor failure/disc <br />Yes; ❑ No. <br />yes >✓1 No* For tank systems that utilize the monitoring system as the primary tank Overfill warning device (i.e., no <br />96 N/A <br />mechanical overfill prevention valve is installed), is the ovell warning alarm visible and audible at the tank <br />fill points) artd operating properly? If so, at what percent of tank capacity does the alarm trigger't <br />f} Yes* No Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced <br />and list the manufacturer name and model for a!1 replacement parts in Section E. below, <br />Yes* 17 No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) <br />0 Product; le Water, if yes, describe causes in Section E, below, <br />Yes a No* Was monitoring system stt-up reviewed to ensure proper settings? Attach set up reports, if applicable <br />YesC] No" Is all monitoring equipment operational per manufucturcr's specifications? <br />* In Section E below, describe Trow and when these deficiencies were or will be corrected. <br />E. Comments: <br />wwW.nniaoe.,°fig Rev, 01/17/08 <br />v rN.fiu _ 3/6 <br />,L,17 "d M -299b:01 96LTT2S60E 3DNhI-1dW03 TSfi:WOad 6Z:9T ST02-2-1,1Uf <br />