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imGFTrl x-RYAII INC. <br />D. Results of Testing/Seryicing <br />Software Version Instafied: 16.05 <br />Complete the following checklist: <br />es ❑ o Is the audible alarm operational? <br />Yes ❑ No' I Is the visual alarm operational? <br />GR Job # 20-631623 <br />�GEMM I <br />AUG 2 S 2015 <br />Yes <br />❑ No' <br />Were all sensors visually inspected, functionally tested, and confirmed operational? <br />Yes <br />❑ No` <br />Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their <br />proper o eratron? <br />[3 yes <br />No' <br />NIA <br />If alarms are relayed to a remote monitoring station, is all communication equipment (e.g. modem) operational? <br />ra Yes <br />❑ No' <br />For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment monitoring system <br />NIA <br />detects a leak, fails to operate, or is electrically disconnected? If yes; which sensors initiate positive shut -down? (Check all that apply) <br />G SumplTrench Sensor: ❑ <br />Dispenser Containment Sensor. Did you confirm positive shut -down due to leaks and sensor <br />failureldisconnection? Cj Yes; ❑ No <br />❑ Yes <br />❑ No" <br />ry NIA <br />For tack systems that utilize the monitoring system as the pnmarytank ovefill warning device (i.e. no mechanical overfill prevention <br />valve is installed), is the overfill warning alarm visible and <br />audible at the tank fill point(s) and operating properly? If so, at what percent <br />of tank capacity does the alarm bigger? <br />[] Yes <br />No <br />Was any monitoring equipment replaced? If yes, identify specific sensors, probes, c other equipment replaced and list the <br />manufacturer name and model for all re iacement arts in Section E. below. <br />❑ Yes <br />No <br />Was liquid faund inside any secondary containment systems designed as dry systems? (Check all that apply) []Product; <br />yes, describe causes in Section E, below. []Water. If <br />Yes <br />❑ No' <br />Was monitoring system set-up reviewed to insure proper settings? Attach set-up reports, if applicable. <br />E Yes <br />❑ No" <br />I Is all monitoring equipment operational per manufacture's specifications? <br />In Section <br />E below, describe how and when these deficiencies were or will be corrected. <br />E. Comments. <br />Monitoring System Certification page 2 of 4 17J07 <br />2 <br />