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D. Results of Testing/Servieing <br />Software Version Installed: <br />- Complete the following checklist: --- <br />® Yes ❑ No' <br />Is the audible alarm operational? <br />® Yes ❑ No' <br />Is the visual alar operational? <br />Y® No' <br />Were all sensors visually inspected, functionally tested, and confirmed operational? <br />® Yes ❑ No' <br />Were all sensors installed at lowest point of secondary containment and positioned so that other <br />equipment will not interfere with their proper operation? <br />❑ Yes ®NA <br />❑ No <br />If alarms are relayed to a remote monitoring station, is all communications equipment(e.g. modem) operational? <br />❑ Yes <br />For pressurized piping systems, does the turbine automatically shut down if the piping secondarycontainment <br />❑ No <br />monitoring system detects a leak, fails to operate, or is electrically disconnected? If ves: which sensors initiate <br />RNA <br />positive shut down? (Check all that apply) ❑ Sump/Trench Sensors ❑ Dispenser Containment Sensors ❑ I <br />Did you confirm positive shutdown due to leaks and sensor taiiure/disconnection'.+ ❑ Yes ❑ No <br />❑ Yes ® NA <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br />❑ No <br />mechanical overfill prevention valve is installed), is the over -fill warning alarm visible and audible at the tank <br />,fiII point(s) and operating properly? If yes, at shat percent of tank capacity doe the alarm trigger? % <br />❑ Yes ®No <br />as 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 <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 ❑ No <br />Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, ff applicable <br />® No` <br />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 />Monitoring System Certification Page 2 of 3/01 <br />