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D. Results of Testing/Servicing <br /> Software Version Installed: 421.00 <br /> Complete the following checklist: <br /> ®Yes ❑No* Is the audible alarm operational? <br /> ®Yes ❑No* Is the visual alarm operational? <br /> ®Yes ❑No* Were all sensors visually inspected,functionally tested, and confirmed operational? <br /> M Yes ❑ No* Were all sensors installed at lowest point of secondary containment and positioned so that other <br /> equipment will not interfere with their proper operation? <br /> E0 Yes ❑ NA <br /> [I No If alarms are relayed to a remote monitoring station, is all communications equipment(e.g. modem)operational? <br /> ❑Yes For pressurized piping systems, does the turbine automatically shut down if the piping secondarycontainment <br /> ❑ No monitoring system detects a leak,fails to operate, or is electrically disconnected? If ves:which sensors initiate <br /> ®NA positive shut down? (Check all that apply) ❑Sump/Trench Sensors ❑Dispenser Containment Sensors ❑ I <br /> Did you confirm positive shutdown due to leaks and sensor tailure/disconnection'e ❑Yes ❑No <br /> 59 Yes ❑ NA For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e. no <br /> ❑ No mechanical overfill prevention valve is installed), is the over-fill warning alarm visible and audible at the tank <br /> ill point(s)and operating properly? If yes, at shat percent of tank capacity doe the alarm trigger? % <br /> ❑Yes H No as any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment 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 ❑Water 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 /> ®Yes ❑ 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 /> Cite has remote mnnitnrinsz (monitored by BMF)- <br /> Monitoring System Certification Page 2 of 3 3101 <br />