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. ' Monitoring System Certification • • �0� D. Results of Testing/Servicing Software Version Installed: 327.04 Complete the following checklist: Q Yes ❑ No* Is the audible alarm operational? Q Yes ❑ No* Is the visual alarm operational? Q Yes ❑ No* Were all sensors visually inspected,functionally tested, and confirmed operational? Q Yes ❑ No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? ❑ Yes ❑ No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) 0 N/A operational? ZYes ❑ No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment ❑ N/A monitoring system detects a leak, fails to operate,or .electrically disconnected? If yes: which sensors initiate positive shut-down? (Check all that apply) Q Sump/Trench Sensors; Z Dispenser Containment Sensors. Did you confirm positive shut-down due to leaks and sensor failure/disconnection? Z Yes; ❑No. ZYes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no ❑ N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank fillpoint(s)and operating properly? If so,at what percent of tank capacity does the alarm trigger? 20 % ❑ Yes* Q No Was any monitoring equipment replaced? If yes, identify specific sensors,probes,or other equipment replaced and list the manufacturer name and model for all replacement parts in Section E,below. ❑Yes* Q No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) ❑Product; ❑Water. If yes,describe causes in Section E,below. Q Yes ❑ No* Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable Q Yes ❑ No* I Is all monitoring equipment operational per manufacturer's specifications? *In Section E below,describe how and when these deficiencies were or will be corrected. E. Comments: L2 - 87 STP Brine Sensor - 420 L4 - 91 STP Brine Sensor - 420 L6 - Diesel STP Brine Sensor - 420 L8 - 87 Fill Brine Sensor - 420 L10 - 91 Fill Brine Sensor - 420 L12 - Diesel Fill Brine Sensor - 420 L16 - Vent Sump Brine Sensor - 420 L18 - Dispenser 1 / 2 Brine Sensor - 420 L20 - Dispenser 3 / 4 Brine Sensor - 420 L22 - Dispenser 5 / 6 Brine Sensor - 420 L24 - Dispenser 7 / 8 Brine Sensor - 420 L26 - Dispenser 9 / 10 Brine Sensor - 420 L28 - Dispenser 11 / 12 Brine Sensor - 420 UN-036-2/4 Page 2 of 5 Rev.06/04/01 w .unidocs.org