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06/03/2015 10:15 8387674 EMILS PAGE 11 <br /> � <br /> D. Results of TeatingyServlcing *RECEIVED <br /> Saftere version Installed: 14.02 JUN 0 3 2015 <br /> Complete the f011OW1110 checklist: <br /> M Yes ❑ Ne Is the audible alarm opera6onol7 Nra'Tu Cpn 7TggC lT <br /> M 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 not interfere with their proper <br /> operation? <br /> ❑ Yes ❑ No' If alarms ala relayed to a remote monitoring station,is all CDMMuniOMions equipment(e,g.,modem)operaflonal? <br /> M NIA <br /> M Yes ❑ NW For pressunzad piping spleens,does the turbine automatically shut down if the piping secondarycontainmentmonitoring system datects a leak, <br /> ❑ NIA falls to Operate,or is electrically disconnected? N yes:whloh sensors Initiate positive shut-down? (Check ell that apply) 0 SumWranch <br /> Sensors: ❑Dispenser Containment Soncws. <br /> Old you wrifiml positive shpt-down due to leaks sn sensor failure/dlsCooneciion7 S Yea: ❑No. <br /> ❑ Yes ❑ No' For tank systema that utilize the monitoring system as the Primary tank overfill warning devloe(i.e..no macnankal overfill prevention valve is <br /> M NIA installed),Is the Ovetfill warning alarm visible and audible at the tank flu point(s)and operating pmperlp If so,at what percent of tank capacity <br /> does the alarm tagger? % <br /> ❑ Yes M No was any monitoring equipment Mplaced? If yea,IOenfiry spxific sensors,probes,Or otner equipment replaced and list the manufacturer name <br /> and model for a1I replacement parts in Section E,below. <br /> ❑Vas• S No Was liquid found inside any seocndery OOnfainment systema designed as dry systems? (Chsck all that apply) <br /> ❑Product; ❑Water. It yes,describe Causes in Swum E,below. <br /> M Yea ❑ No• Was monitoring system sel-up reviewed to ensure proper seftinge?Adaoh set Up reports,ifapplicable <br /> S Yea ❑ No' is all monitoring equipment operational per manufacturer's speolficatlons? <br /> •In SeCtIO l E bolow,describe how and When these deficiencies Were or will he corrected. <br /> .. Comments: <br /> Monitoring System Certification Page 2 of 4 2/21/07 <br />