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Monitoring System Certification <br /> - Ti - -—- ---------- <br /> Srte Address_ 116 E HARDING WAY Date of Testi oervicing_ <br /> D. Results of Testing/Servicing <br /> Software V ersion Installe d: /� l <br /> Com to the following checklist: <br /> s I e No* Is the audible alarm operational? <br /> Y No* Is the visual alarm operational? <br /> e No* Were all sensors visually inspected,functionalltested, and confirmed operational? <br /> Wes 15 No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will <br /> not interfere with their proper operation? <br /> Yes No* alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> /A operational? <br /> es No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br /> NIA monitoring system detects a leak, fails to operate, o . electrically disconnectev es: which sensors initiate <br /> p o sitive shut,down? (Check all that apply) n umplTrenchSens ors; _ rspenserConentSensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? es; M No. <br /> 7 Yes 19 No For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br /> &1 -'A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> fill oin s and op erating properly9 If so, at what p ercent of tank c ap acity does the alarm trigger? . . . .% <br /> Yes* o Was any monitoring equipment replaced? If ye s,identify specific sensors,probes, or other e quipment replac e d <br /> and list the manufacturer name and model for all re lacement p arts in Section E,below. <br /> Yes* o Was liquid found inside any secondary containment systems designed as dry systems? (Check all may) <br /> Product; ®Water. If yes, describe causes in Section E,below. <br /> No* I Was monitoring system set-up reviewed to ensure proper settings? <br /> V- e I M No* I Is all monitoring equipment oerational per manufacturer's specifications? <br /> *In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: <br /> t <br /> I <br /> I <br /> I I <br /> I <br /> I <br /> i <br /> i <br /> i <br /> i <br /> i <br /> i <br /> Page 2 of 3 0341 <br />