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Monitoring System Certification Site Address: D. Results of Testing/Servicing Software Version Installed: Conviete the 161 inp, checklist: Date of Testing/Servicing. Yes ❑ No* Is the audible alarmoperational? - -- - ❑ No* Is the visual alarm rational? ❑ No* Were all sensors visually fumetionally tested; and confirmed rational? 091"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 ❑ >cO If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) N/A operational? Yes ❑ No* For pressurized piping systems, does the turbine automatically shut dawn if the piping secondary containment ❑ N/A monitoring system detects a leak, fails to operate. or is Oectrically disconnected? If.yes: which sensors initiate positive shut -down? (Check all that applv) ump/Trench Sensors; C�bispenser Containment Sensors. Did you confirm positive shut -down due to leaks and sensor failure/disconnection? l3 Yes; ❑ No. ❑ Yes ❑ N� * For tank systems that utilize the monitoring system as the primary tank overfill warming device (i -e. mo C3'l�IIA mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank fill int(s) and operating ? If so, at what percent of tank capacity does the alarm tri l ?T-?% ❑ Yes* o 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* o Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) ❑ Product ❑ Water. If ves. describe causes in Section E. below. ❑ No* Was monitoring stem set reviewed to ensure proj= settinp? Yes ❑ No* 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: