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19255517888 Main Fax <br />Monitoring System Certification <br />D. Results of Testing/Servicing <br />Software Version Installed: <br />Complete the following checklist: <br />GETTLER RYAN INC <br />+^ '0:49 p.m. 01-11-2007 <br />0) -6 I I ,:� / <br />Yes <br />I ❑ No* <br />Is the audible alarm operational? <br />)ryes <br />❑ No* <br />Is the visual alarm operational? <br />❑ Yes <br />A No* <br />Were all sensors visually inspected, functionally tested, and confirmed operational? <br />Yes <br />❑ No* <br />Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will <br />not interfere with their proper operation? <br />Yes <br />❑ No* <br />If alarms are relayed to a remote monitoring station, is all communications equipment (e g. modem) <br />q _NIA <br />operational? <br />Yes <br />❑ No* <br />For pressurized piping systems, does the turbine automatically shirt down if the piping secondary containment <br />❑ N/A <br />monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate <br />positive shut -down? (Check all that apply) �Oumpfl rench Sensors; ❑ Dispenser Containment Sensors. <br />Did you confirm positive shut -down due to leaks and sensor fadweJdisconnectionl Yes; ❑ No. <br />Cl Yes <br />❑ No* <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br />�N/A <br />mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br />fill point(s) and operating y? If so, at what percent of toric capacity does the alarm trigged % <br />es* <br />❑ No <br />Was any monitoring equipment replaced? If yes, ide t specific sensors, probes, or other equipment replaced <br />and list the manufacturer name and model for all replacement parts in Section E, below, <br />❑ Yes* <br />o <br />Was liquid found inside any secondary containment systems designed as dry systems? (Check all d w apply) <br />❑ Product; ❑ Warier. If yes, dwcribe causes in Section E, below. <br />Yes <br />❑ NO <br />Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if applicable <br />Yes <br />❑ No* <br />Is all monitoring equipment operational per mamfacpmr's specifications? <br />' In Section E below, describe how and when these deficiencies were or will be corrected <br />E. Comments: In C7 / / <br />/ �v �b i .� C J'c�.�.-..� ,SC �S !✓ ^r- C�.� �M , f/ � � Z a ui fry <br />f,�.-Acj all /5 <br />(�� �� 1 ✓ /� i <br />"e <br />Page 2 of 3 <br />