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Monitoring System Certification <br /> j�C <br /> D. Results of Testing/Servicing ' <br /> Software Version Installed: 329.01 <br /> Com fete the f, 11 checklist: <br /> D Yes ❑ No* Is the audible alarm o erational? <br /> D Yes ❑ No* Is the visual alarm Operational? <br /> ❑ Yes <br /> ❑ Yes Q No* Were all sensors visually ins ected, functionally tested,and confirmed o erational? <br /> ❑ 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 /> ❑ Yes ❑ No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> ❑ N/A 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 electri <br /> positive shut-down? (Check all that apply) ❑Sump/Trcall y disconnected? If yes: which sensors initiate <br /> ench 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 <br /> ❑ N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> fill oint(s I and 12pmerating prol ierly? If so,at what percent of tank ca acity does the alarm tri er?_% <br /> ❑ Yes* ❑ No Was any monitoring equipment replaced? If yes,identify specific sensors,probes, or other equipment replaced <br /> ❑Yes* <br /> and list the manufacturer name and model for all replacement arts in Section E,below. <br /> ❑ No Was liquid found inside any secondary containment systems designed as dr systems? Check all that apply) <br /> Ll Product- ❑ Water. Ifyes, describe causes in Section E, below. y y ( PPY) <br /> ❑ Yes ❑ No* Was monitoring system set-up reviewed to ensure proper settin s?Attach setup reports, if ap licable <br /> ❑ Yes ❑ No* Is all monitoring equipment operational per manufacturer's s ecifications? <br /> In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: <br /> Tested only Sensors programmed for ositive shut down. <br /> Other sensors were Dreviousiv tested. <br /> UN-036-2/4 Page 2 of 4 <br /> Rev.06/04/01 <br /> www.unidoes.org <br />