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.w �. <br /> Mbnitoring System Certification <br /> D. Results of Testing/Servicing <br /> o lL <br /> Software Version Installed: <br /> Complete the foliowin checklist: <br /> ■ Yes qNo <br /> Is the audible alarm operational? <br /> ■ Yes Is the visual alarm o rational? <br /> ■ Yes Were all sensors visual) inspected,functional) tested,and confirmed operational? <br /> i Yes Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will <br /> not interfere with their ro r o ration? <br /> ❑ Yes If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> operational? <br /> ■ Yes ❑ No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br /> ❑ N/A monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate <br /> positive shut-down? (Check all that apply) ®Sump/Trench Sensors; r Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? 1/Yes; ❑No. <br /> ❑ Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br /> 41 N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> fill int(s)and operating rorl ? If so,at what percent of tank capacity does the alarm trigger? % <br /> ❑ Yes* ■ No Was any monitoring equipment replaced? If yes, identify specific 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 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,if applicable <br /> ❑ Yes ■ No* I Is all monitoring ui ment operational per manufacturer's specifications? <br /> *7n Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: RN V4tra, Setc = 5450o- RA q TANiL /'-j 1-r e?EtZAT/a✓t d <br /> LA b P S LA.,..-3 W- SI/ G StOA1 j4QA /✓t'trP F r 1,1ji e <br /> !�"Ai3,L F T R",,jzc /d Si AI -LToit4?-w sJ Cco. rtr NN9.T.t ST4TP { N/ F6 11GENSE <br /> 'A/e" ( o.vrr 4 LTu!_s 14e e%KE A,-T 0 . <br /> im-ass-214 Page 2 of 3 Rm 06AMI <br /> www.nntdO org <br />