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D. Results of Testing/Servicing <br /> Software Version Installed: 133.05 <br /> Complete the following checklist: <br /> tl Yes L No' Is the audible alarm operational? <br /> ,El Yes 7 No' Is the visual alarm operational? <br /> Ki Yes ❑ No' Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> KI Yes ❑ No' Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their <br /> proper operation? <br /> ❑ Yes n No" If alarms are relayed to a remote monitoring station,is all communications equipment(e.g.modem)operational? <br /> K N/A <br /> ❑ Yes L. No' For pressurized piping systems, does the turbine automatically shut down If the piping secondary containment monitoring system <br /> L N/A detects a leak,fails to operate,or is electrically disconnected? If yes:which sensors initiate positive shut-down? (Check all that apply) <br /> IEISumplfrench Sensors; IE]Dispenser Containment Sensors. Did you confirm positive shut-down due to leaks and sensor <br /> failure/disconnection? ®Yes; Mo. <br /> F1 Yes n No' For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e. no mechanical overfill prevention <br /> ,L N/A valve is Installed),is the overfill warning alarm visible and audible at the tank fill point(s)and operating properly? If so,at what percent <br /> of tank capacity does the alarm trigger? % <br /> Yes` ti No Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the <br /> manufacturer name and model for all replacement parts in Section E,below. <br /> I I Yes' K I No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply)OProduct; ®Water. If <br /> es,describe causes in Section E,below. <br /> KI Yes n No" Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable <br /> C Yes L No` Is all 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 /> RF <br /> APR 12014 <br /> Monitoring System Certification Page of I07 <br /> ENVIRONMENTAL HEALTH <br /> DEPARTMENT <br />