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Monitoring System Cer-tirwatiox <br /> c�4 --Date of..Testing/Servicing' <br /> Site Address: WILSON sf(xkT(5j4' �i <br /> D. Results of Testing/Servicing <br /> Com lete the followchecklist: <br /> Yes No* Is audible alarm o <br /> Yes * is the visual alarm operational? <br /> es 0 Were all sensors visually insEected.function d confirmed operationat? <br /> Yes No* Were at sensors installed at lowest point of secondary containment and positioned so that other equipment will <br /> not interfere with their ro tro eration7 is an communications equipment (e.g. <br /> Yes No* if alums are relayed to a remote monitoring station, <br /> NIA operational? <br /> Yes No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br /> NIA monitoring system detects a leakfails to operate, or is electrically disconnected? If yes: which sensors initiate <br /> ,I <br /> positive shutdown? (Check all that apply)OCf.Sumpfrjench Sens ors; 81Zispenser Containment Sensors. <br /> Did you confirm positive shut^down due to leaks and sensor feaureldisconnection?-ayes; MNo. <br /> Yes Q No* For tank systems that utilize the raonitiring system as the primary tank overfill warning device (is. no <br /> /A mechanical overfill prevention. valve is installed), is the overfill warning alum visible and audible at the tank <br /> '0 NIA mechanical <br /> and operatingproe lly? If soM <br /> ,at what percent of tank ca does the alum trigger? . . . .% <br /> es 140 Was any monitoring equipment replacecrl it yes,identity specific sensors,probes,— 9 as,or other equipment replaced <br /> and Est the manufacturer name and model for all replacement parts in Section E,below. <br /> [. Yes* o Was liquid found inside any secondary containment systems designed as dry systems? (Check all 6&4#Y)ff <br /> Product- M 127-4-- If".. describe causes inSectionE below. <br /> Yes GI No* Wes monitoring system setup reviewed to ensure proper settin s7 <br /> s— No* <br /> 171 Section E below,descMe how and when these deficiencies were or will be cornered. <br /> E. Comments: A I r T-e 3-11, <br /> Page 2 of 3 03A i <br />