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19255517888 Main Fax GETTLER RYAN INC 00 ''38 a.in. 01-12-2007 6/11 <br /> Monitoring System Certification <br /> D. Results of Testing/Servicing <br /> Software version Installed 3 a s- <br /> Complete the following checklist: <br /> Yes O No* is the audible alarm operational? <br /> X'Yes ❑ No* Is the visual alarm operational? <br /> ❑ Yes No* Were all sensors visually inspected,fimctionally tested,and confirmed operational? <br /> Yes ❑ No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will <br /> not interfere with their proper operation? <br /> Yes ❑ No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> Q,'N/A operational? <br /> Yes 0 No* For pressurized piping systems,does the turbine automatically shut down if the piping secondary containment <br /> ❑ NIA monitoring system detects a leak, fails to operate,or is electrically disconnected? If yes:which season initiate <br /> positive shut-down? (Check all that apply)(1`�',tr Sump/Trench Sensors; ❑Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? Yes; ❑No. <br /> Cl Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br /> N/A me than"overfill prevention valve is installed),is the overfill warning alarm visible and audible at the tank <br /> fill point(s)and g properly? If so,at what percent of tank capacity does the alarm trigger? % <br /> Yes* d? if Yes,identify specific sensors.probes,or outer equipment replaced <br /> 13 No Was any monitoring equipment replace <br /> and list the manufacturer name and model for all replacement parts in Section E,below. <br /> ❑ Yes* No Was liquid found inside any secondary containment syste ns designed as d�systems? (Check all that apply) <br /> ❑Product; ❑Water. If yes,describe causes in Section E,below. <br /> Yes 13 No* Was monitoring system set-up reviewed to ensure proper settings?Attach slit reports,if applicable <br /> Yes ❑ No* is all monitoring equipment operational per mannfacturer's spe6fications? <br /> •In Section E below,describe bow and when these deficiencies were or will be corrected. / <br /> E. Comments: �] ci �v�6,n c s'�.��� srtis�✓ �v� ���1 / l-t <br /> Page 2 of 3 03/ 1 <br />