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ylnoitoring Svswm Certification <br /> Site Address: Date of Testine/Servicing: <br /> D. Results-of Testing/Servicing <br /> Software Version Installed: <br /> Complete the following checklist. <br /> ❑ No* I Is the audible alarm operational'? <br /> ❑ No* Is the visual alarm operational? <br /> 2"YO , ❑ No* Were all sensors visually functionally tested and confirmedoperational? <br /> EZ4es ❑ No* Were all sensors installers at lowest point of secondan, containment and positioned so that other equipment <br /> will not interfere with their proper operation? <br /> ❑ Yes ❑—/No* If alarms are relaved to a remote monitoring station, is all communications equipment (e.g. modem) <br /> Ej 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 isplectricaliv disconnected? ff yes: which sensors , <br /> initiate positive shut-down? /Check all that apply Su np/Trench Sensors. Dispenser Containment <br /> Sensors. <br /> Did von confirm positive slut-down due to leaks and sensor failure/disconnection? : ❑ No. <br /> Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (Le. no <br /> ❑ NIA mechanical overfill prevention valve is installed). is the overfill warning alarm visible and audible at the tans` <br /> fill int(s) and operating propedy' If so, at what percent of tank capacity does the alarm trigger? ????% �S <br /> ❑ Yes* 2 _No Was any monitoring equipment replaced? If yes. identify specific sensors. probes. or other equipment <br /> replaced and list the mane ic-turer name and model for all re lacement parts m Section E. below. <br /> 2'Yes* ❑ No Was limed found inside any secondary containment systems designed as dry systems? (Check all that appiv) <br /> ! ❑ Product ❑ Water. If es.desc ribcauses in Section E. below. <br /> e, ❑ No* Was monitoring system set-up reviewed to ensure proper settings' <br /> Yes i ❑ No* ' Is all monitoring equipment operational per manufacturer's cations? <br /> * In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: j/IZ LOA---TCK /A `2�/5.8- Ycf 40, P12�f`�Ly�'� <br />