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Monitoring System Certification <br /> Site Address: _ _ ___ Date of Testing/Servicing: _ <br /> D. Results of Testing/Servicing <br /> Software Version Installed: <br /> Co tete the follow ng checklist: <br /> ❑ No* Is the audible alarm o tion(? <br /> >rs ❑ No* Is the visual alarm o rational? <br /> E] No* Were all sensors visual) i functional) to and confirmed operational? <br /> es ❑ No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment <br /> will not interfere with their proper on? <br /> ❑ Yes ❑ No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> p 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 isI de'rically disconnected? yes: which sensors <br /> initiate positive shutdown? (Check all that apply) [ Sump/Trench Sensors; Eff Dispenser Containment <br /> Sensors. I <br /> Did you confirm positive shutdown due to leaks and sensor failureldisconnection? [`Yes; ❑No. <br /> ❑ Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br /> GT'N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> fill point(s)and operating properly? If so,at what percent of tank capadtly does the alarm trigger? ??'??% <br /> ❑ Yes' 9 No Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment <br /> replaced and list the manufacturer name and model for all replacement parts in Section E,below. <br /> ❑ Yes* C9`No Was 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 /> es ❑ No* Was mmutorin stem set-upreviewed to ensure r seturi s? <br /> Yes ❑ No* is all monitoring ui ment 9perational Mr manufacturer's '&cations? <br /> * In Section E below, describe how and when these deficiencies were or will be corrected. <br /> E. Comments: <br />