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D.Results of Testing/Servicing <br /> Software Version Installed: 17.01 <br /> Complete the following checklist: <br /> r Yes C No* s the audible alarm operational? <br /> r Yes C No* s the visual alarm operational? <br /> ro Yes C" No* Atere all sensors visually inspected,functionally tested,and confirmed operational? <br /> IT* Yes C No* Nere all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with <br /> elr ro r o era"on? <br /> r Yes r No* f alarms are relayed to a remote monitoring station,Is all communications equipment(e.g.modem)operational? <br /> (: N/A <br /> r* Yes r No* ror pressurized piping systems,does the turbine automatically shut down if the piping secondary containment monitoring <br /> r N/A stem detects a leak,fails to operate,or Is electrically disconnected?If yes:which sensors Initiate positive shut-down?(Check <br /> all that apply)P Sump/Trench Sensors; r Dispenser Containment Sensors. <br /> 'Stem <br /> you confirm positive shut-down due to leaks and sensor failure/disconnection?fi' Yes; C No <br /> G Yes r No* ror tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e.no mechanical overfill <br /> r N/A evention valve is installed),is the overfill warning alarm visible and audible at the tank fill point(s)and operating properly?If <br /> 2.at what cercent of tank capacity does the alarm trigger?90% <br /> r Yes* R No [as <br /> s any monitoring equipment replaced?If yes,Identify specific sensors,probes,or other equipment replaced and list the <br /> nufacturer name and model for all replacement arts in Section E below. <br /> r Yes* r No s liquid found=any secondary containment systems designed as dry systems?(Check all that apply) <br /> Product rWater.If es describe causes in Section E below. <br /> C Yes r No* monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable <br /> 0 Yes C No* ll monitoring equipment operational per manufacturer's specifications? <br /> *In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E.Comments: <br /> 10 ml of water pumped out of bottom of sup annular riser. <br /> Monitoring System Certification Page 2 of 3 12/07 <br />