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D. Results of Testing/Servicing JUL 18 2016 <br /> Software Version Installed. 329.0 <br /> v .� IRE, <br /> Com tete the followin checklist: M�`��- <br /> ® Yes ❑ No' Is the audible alarm operational? <br /> ® Yes ❑ No' Is the visual alarm operational? <br /> ® Yes ❑ No' Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> ® Yes ❑ Ni Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper <br /> operation? <br /> ❑ Yes ❑ No' If alarms are relayed to a remote monitoring station,is all communications equipment(e.g.,modem)operational? <br /> ® N/A <br /> ® Yes ❑ No' For pressurized piping systems,does the turbine automatically shut down if the piping secondary containment monitoring system detects a leak, <br /> ❑ N/A fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut-down? (Check all that apply) ® Sumprrrench <br /> Sensors; ❑Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? ®Yes; ❑No. <br /> ❑ Yes ❑ No' For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e.,no mechanical overfill prevention valve is <br /> ® N/A installed),is the overfill warning alarm visible and audible at the tank fill points)and operating properly? M so,at what percent of tank capacity <br /> does the alarm trigger? <br /> ❑ Ves ® No Was any monitoring equipment replaced? If yes,identify specific sensors,probes,or other equipment replaced and list the manufacturer name <br /> and model for all replacement parts in Section E,below. <br /> ❑Yes• ® No Was 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 ❑ No' Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports,a applicable <br /> ® Yes ❑ No' Is all monitoring equipment operational per manufacturers specifications? <br /> •In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: <br /> Monitoring System Certification Page 2 of 4 2i21 O7 <br />