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I1itoring system Certification <br /> Site Address: 2725 COUNTRY CLUB BLVD Date of Testing/Service: 04118/2008 <br /> D. Results of Testing/Servicing <br /> Software Version Installed: 121.00 <br /> Complete the following checklist: <br /> X Yes No' Is the audible alarm operational? <br /> El Yes ©No' Is the visual alarm operational? <br /> Yes No Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> � Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not <br /> LJ Yes No` interfere with their proper operation? <br /> Yes No" X NIA If alarms are relayed to a remote monitoring station,is all communications equipment(e.g.modem)operational? <br /> For pressurized piping systems,does the turbine automatically shut down if the piping secondary containment <br /> Yes ©Na' ©NIA monitoring system detects a leak,fails to operate,or is electrically disconnected?If yes:which sensors initiate positive <br /> L�jshut-down?(check all that apply) Q Sump/Trench Sensors; ❑X Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks aad sensor fail ureldisconnection? ❑X Yes ❑No <br /> For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e.:no mechanical <br /> Q Yes E]No' NIA overfill prevention valve is installed),is the overfill warning alarm visible and audible at the tank fill points(s)and operating <br /> properly? if so,at what percent of tank capacity does the alarm trigger? % <br /> Yes' Q 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 parts in Section E,below. <br /> PgdW�as <br /> liquid found inside any secondary containment systems designed as dry systems?(check all that apply) ❑Product; <br /> Water. If yes,describe causes in Section E,below. <br /> s monitoring system set-upreviewed to ensure proper settings?Attach set-up reports,if applicable. <br /> Is all monitoring equipment operational per manufacturers'specifications? <br /> In Section E below,describe how and when these deficiences were or will be corrected. <br /> E. Comments: <br /> Page 2 of 3 Based on CA form dated 03101 <br />