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Monitoring System Certification <br /> IV <br /> MAR 21 2016 <br /> D. Result`s of Testing/Servicing <br /> ENVIRONMENTAL <br /> Software Version Installed: <br /> �a�,��T�, <br /> complete the folio ng checklist'. <br /> Yes ❑ No* Is the audible alarm operational? <br /> Yes ❑ No* Is the visual alarm operational? <br /> Yes [j No* Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> Yes ❑ Not Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will <br /> not interfere with their proper operation? g modem) <br /> ❑ Yes ❑ No* If alarms are relayed to a remote monitorin station, is all communications equipment {e.g., <br /> N/A operational? <br /> Yes ❑ No For pressurized i in systems, does the turbine automatically shut down if the piping secondary containment t <br /> * p P g Ys I <br /> ❑ NIA monitoring system detects a leak,fails to operate, or is electrically disc nnected? If yes: -which sensors initiate <br /> positive shut-down? (Check all that apply) Sump/Trench rench Sensors; Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? XYes; ❑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 properly? If so,at what percent of tank capacity does the alarm trigger?Qo % <br /> ❑ Yes* 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* E) No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) <br /> ❑Product; k Water. If yes,describe causes in Section E,below. <br /> Yes ❑ No* Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable <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: <br /> UN-036-3/6 www.unid(KK,org Rev.01/17/08 <br /> OT/2'd 22t-289t':p1 96LT-TSS-602 SHI1S31'dwo:),131*1C1d_j 2t�:_10 9T02-6T-dUW <br />