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D. Results of Testing/Servicing <br />Software Version Installed: 333.03 <br />Complete the following checklist: <br />JUL 2 5 2016 <br />• Yes <br />m No* <br />s the audible alar operational? <br />• Yes <br />No* <br />s the visual alar operational? <br />G- Yes <br />No* <br />Were all sensors visually inspected, functionally tested, and confirmed operational? <br />r Yes <br />No* <br />Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with <br />heir ro r o eration? <br />r Yes <br />No* <br />f alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) operational? <br />N/A <br />to Yes <br />No* <br />For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment monitoring <br />system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut -down? (Check <br />N/A <br />all that apply) rVj Sump/Trench Sensors; R Dispenser Containment Sensors. <br />Did you confirm positive shut -down due to leaks and sensor failure/dismnnecuon? Q Yes; is No <br />Is Yes <br />No* <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no mechanical overfill <br />prevention valve is installed), is the overfill warning alarm visible and audible at the tank fill point(s) and operating properly? If <br />N/A <br />o at what percent of tank opacity does the alarm trigger? % <br />19 Yes* <br />r No <br />Nas 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 />Yes* <br />Q No <br />as liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) <br />-' Product; ❑ water. If yes, describe causes in Section E below. <br />Yes <br />19 No* <br />Nas monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if applicable <br />Yes <br />6 No* <br />s 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 />Monitoring System Certification Page 2 of 3 12/07 <br />