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D. Results of Testing/Servicing MAR 2 7 <br /> 2015 <br /> Software Version Installed: 17.00 /� <br /> Com late the followin checklist: ''�VI ^ANTA[ <br /> ® Yes ❑ No' Is the audible alarm operational? � <br /> 19 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 are relayed to a remote monitoring station,is all communications equipment(e.g.,modem)operational? <br /> ® N/A <br /> ® Yes ❑ No' For pressurized piping systems,does the turbine automatically shut down if the piping secondary containment monitoring system detects a leak, <br /> ❑ N/A fails to operate, or is electrically disconnected? If yes:which sensors initiate positive shut-down? (Check all that apply) ® Sump/Trench <br /> Sensors; ❑Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks ang sensor failure/disconnection? 0 Yes; ❑No. <br /> ® Yes ❑ No- For tank systems that utilize the monitonng system as the primary tank overfill warning device(i.e., no mechanical overfill prevention valve is <br /> ❑ N/A installed),is the overfill warning alar visible and audible at the tank fill point(s)and operating properly? If so,at what percent of tank capacity <br /> does the alarm trigger) 90% <br /> ❑ Yes ® No Was any monitoring equipment replaced? If yes,identify specific sensors,probes,or other equipment replaced and list the manufacturer name <br /> 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' I Is all monitoring equipment operational per manufacturers specifications? <br /> In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. comments: All passed ELENA ON SITE WITH SJV EH <br /> Monitoring System Certification Page 2 of 2/21/07 <br />