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1). Results of Testing/Servicing <br /> Software Version Installed: "YL 9• e % <br /> Complete the following checklist: <br /> IL Yes U Ne Is the audible alarm operational? <br /> f� Yes ❑ No` Is the visual alarm operational? <br /> Yes No' Were all sensors visually Inspacted,functionally tested,and confirmed operational? <br /> s� Yes p No, were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their <br /> proper operation? <br /> rt Yes .] No' it alarms are relayed to a remote monitoring station,is all communlcatlons equipment(e.g.modem)operational? <br /> N/A <br /> �Q Yes U No' For pressurized.piping systems, does the turbine automatically shut down it the piping secondary containment monitoring system <br /> N/A delects a leak,falls to operate,or is electrically disconnected? If yes:which sensors initiate positive shutdown? (Check all that apply) <br /> tt Sump/Trench Sensors; *Dispenser Containment Sensors. Did you confirm positive shut-down due to leaks aDq sensor <br /> (allure/disconnection? Yes• C.No. <br /> Yes G No" For tank systems that utlllze the monitoring system as the primary tank overfill warning device(Le. no mechanical overfill prevention <br /> 17 N/A valve is Installed),is the overfill warning a visible and audible at the tank fill point(s)and operating property? It so,at what percent <br /> of tank capacity does the alarm trioger? io <br /> )t Yes* ;i No was any monitoring equipment replaced? It yes, identify specific sensors, probes, or other equipment replaced and list the <br /> manufacturer name and model for all replacement parts in Section E below. <br /> Yes' n No Was liquid found Inside any secondary containment systems designed as dry systems? (Check all that apply)D Product; U Water. If <br /> es,describe causes In Section E,below. <br /> Yes 12 No' Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports,it applicable <br /> Yes n No' Is all monitoring equipment operational per manufacturer's specifications? <br /> *In Section E below,describe how and when theso defielencles were or will be corrected. <br /> E. Comments; <br /> fJln r.� C"'a rvc '&LP%Aejr 'tin ut)e- <br /> S�6 <br /> t•tt�YsPir�\l �.nnow� of �t.e'►.,T✓ j'�S�O,re.b Frow+ Geke,�. 6 ta.n AS• _ _ <br /> Monitoring$ystem Certification Page 2 of 4 12107 <br /> 2 2/21/07 <br />