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monitoring System Certification <br /> Site Address_ Date of Testing/SwvicmQ_ --_ <br /> D. Resins of T'esfing/Servicing <br /> Software Version Installed- <br /> the <br /> nstalle -the fo o check st- -- <br /> Yes ❑ No* Is the audible alarm operational? <br /> c Yes ❑ N& is the-,isual alarm o onal- <br /> i?rYes ❑ No� Were all sensors visually mspected,fanctionally tested,and confirmed �tionai? <br /> cs <br /> El No* Were all sensors installed at Iov est poini of second?r- cont�meni aad- s tioned so :nom o'thzr em-uipr:erd <br /> I rY37k nQi interfere with their proper operation? <br /> ❑ Yes ❑ No" if alarms aZ =elayed to a ramoic niomtori g sLatioiL is all coau"nunicatioins equiA�enf (e_, M- G-ne nj <br /> O'3�l/A Oi�F"dtlOna�? <br /> �l Yes ❑ No* FG=preSsudzed pipuag systems.Coes the turbo automatiCdllF shit down if the ptpL-Ug secondary Conjamyr'en ' <br /> Uf'N/A monitoring -3-Am detects a leak, moils to owrate_ or is decWcalla disc auccted? if}es_ w�.ch sensors <br /> initiate positn-e shut-do-vin? (Check all thar app i) Ei Swupfi Tench -Sc� ❑ Dispenser Comainmeril <br /> Sensor` i <br /> j Did you confirn positive shin-clown due to Ieaks and Sergi f9IUrrlcusmntte�on? ❑Yes: ❑No_ <br /> ❑ Yes ❑ No* For tank sy�ems that utilize the motorii>j sw as Elie prirnarF tank o��fiIl w device {i e_ no f <br /> ['N/Ame`hanical overfill prevcnrion valve s insialed),is the overfill�sarn*ii?alar17sible and awli-ble at the tank <br /> 1-rII int(s)and a ? ifso-at what percent of tank:ca cft� does the al.—m.tri - <br /> CO Yes- - 0 Was am monitoring equipment replaced? If yer ideti'cify specific s rso probes ar other e'J.ui tiie.^.a <br /> replaced and list the manufacturer name and model for all replacenimri DaM in F,bdow_ <br /> lJ Yjz-� 4, �-'No Was Haui-n k rad insode zi.T d-=,=zi—net syva—=3&asigaed- as W,=sysz -4? f"i�afl✓z.a Gp <br /> E ,r i i�iycaer_ =oe5 ' .c:mac'�'u✓. �E <br /> nei( S,� <br /> ";rzs ❑ Na' was Monitorinf,system set reviewed to enSis"z proDer settings? <br /> Yes ❑ No* ll monitoring equipment operauonal tier manufacturers specifications? <br /> = in Section E below,€iesci abe hots and when these delidei cies rie e or�-LI be courted_ <br /> E. Comments: <br />