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0.Results of Testing/Servicing <br /> Software Version Installed: 331.01 <br /> Complete the following checklist: <br /> IT Yes r No* Is the audible alarm operational? <br /> C+ Yes r No* Is the visual alarm operational? <br /> f•Yes r No* Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> r Yes r No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not Interfere wit <br /> their proper operation? <br /> r yes r No* If alarms are relayed to a remote monitoring station,Is all communications equipment(e.g.modem)operational? <br /> r N/A <br /> IT Yes IF No* For pressurized piping systems,does the turbine automatically shut down if the piping secondary containment monitoring <br /> r N/A system detects a leak,fails to operate,or is electrically disconnected?If yes:which sensors initiate positive shut-down?(Check <br /> all that apply)r Sump/Trench Sensors; r Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection?i2' Yes; r No <br /> r Yes r No* IFor tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e.no mechanical overrill <br /> prevention valve is installed),is the overfill warning alarm visible and audible at the tank fill point(s)and operating properly?If <br /> r N/A so at what percent of tank capacity does the alarm trigger?% <br /> r Yes* IT No Was any monitoring equipment replaced?If yes,identify specific sensors,probes,or other equipment replaced and list the <br /> manufacturer name and model for all replacement arts in Section E below. <br /> r yes* IT No Was liquid found inside any secondary containment systems designed as dry systems?(Check all that apply) <br /> r <br /> Product; r Water.If es describe causes in Section E below. <br /> t: Yes r No* Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable <br /> f: Yes r No* Is all monitoring equipment operational per manufacturer's specifications? <br /> *In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E.Comments: <br /> Monitoring System Certification Page 2 of 3 12/07 <br />