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D.Results of iestJng/Se11I L \ • i VVVy/E(/ <br /> Sof am 3 <br /> re Version Installed: 29.0329.02 <br /> Complete the following checklist: FEB 17 2015 <br /> • Yes No* s the audible alarm operational? <br /> a /�1 <br /> • Yes NO sthe visual alarm operational? - d.Pd_., <br /> • Yes No* ere all sensors visually inspectetl,functionally tested,and confirmed operational? <br /> ' Yes No* ere all sensors installed a[lowest point of seconds containment and Positioned so that other <br /> heir ro r operation? ry p equipment will not Interfere wit <br /> ` Yes No* f alarms are relayed to a remote monitoring station,is all communications <br /> • WA equipment(e.g.modem)operational? <br /> • Yes = No* or pressurized piping systems,does <br /> N/A stem detects a leak,folk W opthe turbine automaticalry shutdown if the piping secondary containment monitoring <br /> erate,or is electrically disconnected?If yes:which sensors initiate <br /> all that apply Sump/Trench Sensors, r Dispenser Containment Sensors. positive shut-down?(Check <br /> Id you confirm positive shut-down due to leaks and sensor failure Yes; E" No <br /> Yes No* or tank systems that utilize the monitodn <br /> revenbon valve is installed),is the overfill warn ng alar17Fm Psible and audible anm.ry tank lt tarning tank device Point(s)inand operating <br /> overfill <br /> N/A at what erten[of tank w d does the alarm al evi 97% p <br /> n9 properly?If <br /> Yes* • No as any monitoring equipment replaced?If yes,identify spedfic sensors,probes,or other equipment replaced and list the <br /> i nufacturer name and model for all re lawmen[ arts in Section E <br /> Yes* • No as liquid found inside any secobelow, <br /> ndary containment systems designed as dry systems?(Check all that appy) <br /> Product• r Water.If es describe rouses in Section E below. <br /> as monitorinL� r <br /> g system se[-up reviewed to ensure proper settings?Attach se[up reports,if applicable <br /> Yes No* s all monitoring equipment <br /> pelabonl <br /> *In Section E below,describe how and when these defc deficiencies were o, W...be coarecteds specifications? <br /> E.Comments: <br /> Monitoring System Certification Page 2 of 3 12/07 <br />