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."lonitoring System Certification A Results of Testing/Servicing Software Version Installed: 123.02 1 Complete the following checklist: ® Yes ❑ No* Is the audible alarm operational? ® Yes ❑ No* Is the visual alarm operational? ® Yes ❑ No* Were all sensors visually inspected,functionally tested,ande/opfiFfned perational? ® Yes ❑ No* Were all sensors installed at lowest point of secondary co ainm d positioned so that other equipment will not interfere with their proper operation? ❑ Yes ❑ No* If alarms are relayed to a remote monitoring I 1 communicati s quipment (e.g., modem) ® N/A operational? ® Yes ❑ No* For pressurized piping systems, does the tur inauto at' ally shut down i e p ing secondary containment El N/A monitoring system detects a leak, fails to erat or is a ectrically disc ec . If yes: which sensors initiate positive shut-down? (Check all that app ) Sum Trench Sensors; �D s user Containment Sensors. Did you confirm positive shut-down leaks d sensor fa' i onn tion? ®Y , ❑No. ® Yes ❑ No* For tank systems that utilize th nit m system as a tank overfill g device (i.e., no ❑ N/A mechanical overfill prevention v lv is i led), is the o e i w g alarm vi d udible at the tank fill point(s)and operating pr 1 9 If so t what percent f acity does arm i er? 90% ❑ Yes* ® No Was any monitoring equi rr;I ced? If yes, ident' s ci is sensors, pr �el er equipment replaced and list the manufacture n e del for all rept c t s in Sectio E ® Yes* ❑ No Was liquid found ins' a seco ary containment a designed a ems (Check all that apply) ❑ Product; ® W t I es, scribe causes ' S c ' n ,below. ® Yes ❑ No* Was monitori s m set- reviewed toe o er settings?A ch reports, if applicable ® Yes ❑ No* Is all monitor' g quip ent operatio turer's spe ficat on . *In Section E below,descri a w en these d ficie c&s� re or will c r c d E. Comments: Page 2 of 3