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9255517888 Line 1 11:38:29 09-24-2013 3112 <br /> GETTCER-RYAN INC. • • R,G 1Job# 20-59217,8 <br /> 1 <br /> D. Results of TestinglServicing E(;E i V ®17U <br /> Software Version Installed, 120.02 SEP 24 2013 <br /> Complete the following checklist: <br /> [Z yes D NO' Is theaudiblealarmoperalional? _ <br /> [Z Yes [I No' Is the visual alerts operational? <br /> E Yes D No' Were all sensors visually Inspected functionally tested,and confirmed operational? <br /> [Z Yes No' Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their <br /> prapere ratbn7 <br /> Yes p No' /alarms are relayed to a remote monitoring slogan,is all communication equipment(e.g.modem)operational? <br /> N/A <br /> ry Yes No' For pressurized piping systems,does the turbine alltomatWy shut down if the piping secondary containment monitoring system <br /> 0 NIA detects a teak,falls to operate,or is electrically disconnected?If yes:which sensors Initiate positive shut-down?(Check all that apply) <br /> 11 Sump/trench Sensor, E Dispenser Containment Sensor.Did you confirm positive shut-down due to leaks Mit sensor <br /> failure/disconnection? E Yes; L] No. <br /> 0 Yes 0 No' For tank systema mat utilize me monitoring system as the primary tank overfill warning device(.e.rw mechanical overfill prevention <br /> N/A valve is installed),is the overfill waming alarm visible and audible at the tank fill point(s)and operating properly?If so,at whet percent <br /> of tank capacity does the alarm trigger? <br /> Yes (y No Was any monitoring equipment replaced?If yes,Identify specific sensors,probes,or other equipment replaced and list the <br /> manufacturer name and model for all replacement parcs in Section E,below. <br /> Yes No Was liquid found Inside any secondary containment systems tlesigned as dry system?(Check all that appy) Qprotlucl; Water. If <br /> yes,describe causes in Section E,below. <br /> F Yes 0 No' Was monitoring system set-up reviewed to insure proper settings?Attach set-up reports,If applicable. <br /> Yes No' Is aA monitoring equipment operational per manufacture's specifications? <br /> In Section E below,dosed be how and when these deficiencies were or will be corrected. <br /> E. Comments: <br /> All Ok <br /> Site is equiped with hydraulic oil tank that has an L12& 113 (pin 794390420)sensors <br /> Monitoring System Certification Page 2 of 4 12107 <br /> 2 <br />