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RECEIVE) <br /> Monitoring System Certification- Page 2 of 3 MAR 18 2015 <br /> Site Address: 3434 Manthey RoadDate of Testing/Sery ci�:" l"MENTA[. <br /> D. Results of Testing/Servicing <br /> Software Version Installed. 377.04 <br /> COIII)tete the foil Ing checklist: _ <br /> ® Yes ❑ No* is the audible alarm a erational? <br /> M Yes ❑ No* Is the visual alarm operational? <br /> 0 Yes ❑ No* Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> W Yes ❑ No* 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 ❑ No* If alarms are relayed to a remote monitoring station, is all communications equipment(e.g. modem) <br /> ❑ N/A operational? <br /> It 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 yes:which sensors initiate <br /> positive shut-down? (Check all that apply) ® Sump/Trench Sensors; 0 Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? ® Yes ❑ No <br /> C1 Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e.no <br /> ❑ N/A mechanical overfill prevention valve is installed),is the overfill warning alarm visible and audible at the tank <br /> till oint(s)and operating properly? If so,at what percent of tank capacity does the alarm trigger? 90 % <br /> ❑ Yes* a No Was any monitoring equipment replaced?If yes,identify 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* ® 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 /> ® Yes ❑ No* Was monitoring system set-up reviewed to ensure proper settings? (Attach set-y2 reports, if a licable. <br /> ® Yes ❑ No* Is all monitoring equipment operational per manufacturer's specifications? <br /> In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: Replaced TLS Battery for PM purposes. <br /> 87& 91 are split tanks and share Annular. <br />