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GfTTLEq-RYA N INC, <br />D. Results of Testing/Servicing <br />Software Version Installed: <br />Comolete the following checktlat <br />16-05 <br />GR .fob # 20-631623 <br />JUL Y r.5 2U15 <br />F Yes <br />[] o <br />Is the audible alarm operational? <br />En Yes <br />❑ No' <br />is the visual alarm operational? <br />lZ— Yes <br />❑ No' <br />Were all sensors visually inspected, functionally tested, and confirmed operationa]? <br />ry 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 eration? <br />Q Yes <br />❑ No' <br />If alarms are relayed to a remote monitoring station, is all communication equipment (e.g. modem) operational? <br />NIA <br />Yes <br />❑ No` <br />For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment monitoring System <br />N/A <br />detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut -down? (Check all that apply) <br />❑ Sumplfrench Sensor; ❑ Dispenser Containment Sensor. Did you confirm positive shut -down due to leaks and sensor <br />failure/disconnection? ❑ Yes; ❑ No. <br />❑ Yes <br />❑ No' <br />For tank systems that ublize the monitoring system as the primary tank overfill waming device (i.e. no mechanical overfill prevention <br />�E NIA <br />valve is installed), is the overfill warning alarm visible and audible at the tank fill points) and operating property? If so, at what percent <br />of tank capacity does the alarm trigger? <br />❑ Yes <br />ji No <br />Was any monitonng equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the <br />manufacturer name and model for all replacement arts in Section E, below. <br />❑ Yes <br />E No <br />Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) []product; []Water if <br />yes, describe causes in Section E, below_ <br />Yes <br />❑ No' <br />Was monitoring system set-up reviewed to insure proper settings? Attach set-up reports, 0 applicable. <br />Yes <br />❑ No' 1 <br />is all monitoring equipment operational per manufacture's specifications? <br />ni aeuuun c oeiow, uesarioe now ana wren [nese nenctencres were Or will be corrected. <br />E, Comments: <br />All monitoring equipment passed with no problems " sensors & overfill <br />Monitoring System CerUflcation <br />Page 2 of 4 <br />2 <br />12107 <br />AL. <br />