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Monitoring System Certification <br /> Site Address: <br /> Date of Testing/Servicing: <br /> D. Results of Testing/Servicing <br /> Software Version Installed: <br /> COmPlete!40_WIMdnz checklist: <br /> O No* Is the audible alarm ona17 <br /> des p No* Is the visualalarm oral? <br /> XM <br /> aO No* Were all sensors visual functional) tested,and confirmed operational? <br /> es <br /> es O No* Were all sensors installed at iowest point of secon <br /> cull)not' with their on? containment and positioned so that other equipment <br /> ❑ Yes p N If Afarm � Ft (e. <br /> relayed to a remote monitoring station, is all communications g. gym) <br /> operationYes p No* For pressurized piping systems,does the turbine atttomati <br /> system detects a leak, faits to �7'shut down if the piping seconds <br /> ® N/A monitoringsecondary artttaiamm�ent <br /> operate, or isglectrically disconnected? If yes: which sensors <br /> initiate Positive shirt-down? (Check all that apply) lump/Trench Sensors; O Dispenser Containment <br /> Sensors. <br /> Did you confirm firm positive shut-dawn due to leaks and sensor failure/disconnection? ; p No. <br /> ❑ Yes D leo* For tank systems that utilize the monitoring system as We <br /> primary tank wanung device (i.e. no <br /> N/A mechanical overfill prevention valve is installed), is the overfill warning alarm overfill <br /> and audible at the tank <br /> fill int s and tin 1 ? If so,at what t of tankdoes the alarm tri ????% <br /> O Yes* a Was any monitoring equipment t+eplaced7 If yes, identify specific sensors, per, or other <br /> repLaced and list the manufacturer name and model for all lacement narts in Section E below. <br /> er-Yes* O No Was liquid found inside any secondary contaimnent yy designed as <br /> © ' CI Water• Tf des dbe causes in Section E,below. dry systems? (Check all that apply) <br /> Xcs O No* Was monitorM stem SrA-up renewed to ensure MW settin ? <br /> Yes 0 No* Is au monitorin ui ment onal rmanor's <br /> *In Section E below,describe how and when these deficiencies were or will be corrected. s? <br /> E. Comments: ? 64 <br /> r� <br />