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Monitoring System Certification <br /> Results of Testing/Servicing JUN 0 7 2016 <br /> Software Version Installed: ---- - ' '��"" f► <br /> FYe <br /> the follow up-checklist: - <br /> ❑ No* Is the audible alarm operational? <br /> p No* Is the visual alarm operational? <br /> ❑ No* Were all sensors visually inspected,functionaily t:_sted,and confirmed operational? <br /> ❑ No* Were all sensors installed at lowest point of sero scary containment and positioned so that other equipment will <br /> not interfere with their proper operation? _ q p modem) <br /> ❑ No* If alarms are relayed to a remote morutorirrt; station, is all communications a ui trent (e g•,N/A operational? <br /> ❑ No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br /> p NIA 'monitoring system detects a leak, fails to operate. or is electrically disco ected.9 If yes: which sensors initiate <br /> positive shut-down? (Check all that apply) i(9&imp/Trench Sensors; Dispenser Containment Sensors. <br /> Did you confirm positive shut-down dtke to leaks and sensor failure/disconnection' Yes; C]No. <br /> 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 /> fill point(s)and operating property? If so,at whit percent of tank capacity does the alarm trigger? t> % <br /> ❑ Yes* I No Was any monitoring equipment replaced? If ye:.. 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* p No Was liquid found inside anondaq containment systems designed as dry systems? (Check all that apply) <br /> y sec <br /> El Product; ❑ Water. If yes,describe causes in Section E,below. <br /> VY <br /> ❑ No* Was monitoring system set-up reviewed to ensurL proper settings?Attach set up reports, iapplicable <br /> ❑ No* Is all monitoring equipment operation il per manufacturer's specifications? <br /> * in Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: <br /> CA L41 Ae-J& -tt,�Ml��"q <br /> t?N-036—34 www.unide-:&urg Rev.01/17/08 <br />