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Monitoring System Certification <br /> Site Address: Date of Testing/Servicing: <br /> D. Results of TestinWSei-vicing <br /> Software Version Installed: <br /> Complete the following checklist: <br /> P"Yes ❑ No* Is the audible alarm operational? <br /> Q''Yes ❑ No* Is the visual alarm operational? <br /> es ❑ No* Were all sensors visually inspectrA functionally tested and confirmed operational? <br /> p'i'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 operation? <br /> ❑ Yes ❑ No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> lr 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 is electrically disconnected? If ves: which sensors <br /> initiate positive shut-down? (Check all that apply) p'Sump/Trench Sensors-, ❑ Dispenser Containment <br /> Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? Eff Y es; ❑No. <br /> ❑ Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br /> p"N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> fill int(s)and operating properly? If so,at what percent of tank capacity does the alarm trigger? ????% <br /> ❑ Yes* 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* ❑ No Was liquid found inside any secondary- containment systems designed as dry systems? (Check all that apply) <br /> O'Product; ❑Water. If ves, describe causes in Section E.below. <br /> Yes ❑ No* Was monitoring system set-up reviewed to ensure proper settings? <br /> es ❑ No* Is all monitoring ui ment operational per manufacturers cations? <br /> * In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: ;N��p����s 7- t <br /> +� 'c='�`cL /;'�=%�1� :,v �{-; �.�'R-fc;�v�:;.. ;-�'�S��L ��w-ZcC.�:_� •1�1���7�1� -I_ir�-C` <br /> �� <br />