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04/14/2004 07:49 4089715 SSS INC PAGE 03 <br /> • <br /> Monitoring System Certification-Page 2 of 3 <br /> Site Address: 1071 N Main St.0Louise _ _ <br /> Date of Testing/Servicing: 3122104 <br /> D. Results of Testing/ Servicing <br /> Software Version Installed: 119.02 <br /> Cont fete the following checklist: <br /> ®Yes i3 No* Is the audible alarm o erational'? <br /> ®Yes ❑ No* is the visual alarm o crational? <br /> a Yes ❑No* Were all sensors visuall inspected,functionally tested, and confirmed operational'? <br /> ®Yes p 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 /> 0 Yes 0 No* If alarms are relayed to a remote monitoring station,is all communications eglaiptnent(e.g.modem) <br /> 0 N/A vpctativual'1 <br /> ®Yes ❑No* For pressurized piping systems,docs the turbine automatically shut down if the piping secondary containment <br /> ❑NIA monitoring system detects a leak, fails to operate, aorr is electrically <br /> allySendisconnected? <br /> n Dispenser s:which sensors <br /> initiate <br /> positivepositive sbut-down? (Check all that apply) <br /> Did you confirm ositive shut-down due to leaks and selisor failure/disconnection? Byes O No <br /> Q Yea ❑ No* For tank systems that utilize rhe monitoring system as the primary Tattle ov�ll wamin?drvicr(i.e.nn <br /> 0 N/A mechanical overfill prevention valve is installed),is the overfill warning alarm visible and audible at the tank <br /> fill oint(s)and operating ro erl ? If so,at what percent of tank capacity does the alarm trigger? 0 <br /> p yes* No Was any monitoring equipment replaced?it yes, identity spectflc sensors,probes,or other equipment replaced <br /> and list the manufacturer name and model for all replacement parts in Section E,below. <br /> ❑Yes* ® No Was liquid found inside any srrnndary containment systems designed as dry systems? (Check all th¢t¢pplyj <br /> in Product; ❑ Water. If yes,describe causes in Section L•,below. <br /> 9 Yes ❑ No* Was monitoring system set-up reviewed to cure pro er settmgs? (A trach set-up re a7s, 1 a licable. <br /> ®Yes ❑ 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 />