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D. Results of Testing/Servicing 421.00 <br /> _ software Version Installed, <br /> omplete the following checklist: <br /> jaYes ❑No" tsthe audible alarm operational? <br /> E' <br /> ®Yes ❑No' is the visual alarm operational? <br /> [9 Yes [3d No' ere all sensors visually inspected,functionally tested,and confirmed aperationalere all sensors installed at lowest point of secondary containment and positioned so that other <br /> ®Yes [IN o" equipment will not interfere with their proper operation? <br /> 19 Yes ❑NA - if alarms are relayed to a remote monitoring station,is all communications equipment(e_g.modem)operational? <br /> ❑Non secondarycontainment <br /> ❑Yes For pressurized piping systems,does the turbine automatically shut down if the pipIf yes:which sensors ing <br /> r is electrically disconnected? <br /> ❑No onitoring system detects a leafs.fails to operatO Sump(Trench Sensors ❑Dispenser Containment Sensors ❑f <br /> 19 NA positive shut down?(Check all that appy) <br /> Did you confirm positive shut down due to leaks and sensor failu€eldisconnection? EI yes ❑NO <br /> For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e.no �� <br /> Byes DIN mechanical overfill prevention valve is installed),is the over-fill warning alarm visible and audible at the tank <br /> ❑N° N point(s)anic and operating property? if yes,at shat percent of tank capacity doe the alarm trigger? °� <br /> c sensors,probes,or other equipment replaced <br /> as any monitoring equipment replaced? If yes,identify sly <br /> [I Yes ®No nd Dist the manufacturer name and model for all replacement parts in Section E.below. <br /> as liquid found inside any secondary containment systems designed as dry systems?(Check an that apply)' <br /> []Yes ®No ❑Product ❑Water if yes,describe causes in section E,below. Ecatr4e <br /> ®Yes ❑No as monitoring system set-up reviewed to ensure proper settings? Attach set up reports,if appy <br /> ®Yes ❑No` s all monitoring equipment operational per manufacturer's specifications? <br /> WlCownxenb: <br /> i <br /> f <br /> 3/01 <br /> Monitoring SysteM Certification <br /> Page 2 or'3 <br />