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Ni—..itoring System Certification <br /> Site Address: 85 E LOUISE AVE Date of Testing/Service: 10/09/2006 <br /> PTO N-71 <br /> D. Results of Testing/Servicing <br /> Software Version Installed: 325.02 <br /> Complete the following checklist: <br /> E Yes No• Is the audible alarm operational? <br /> 0 Yes ❑No Is the visual alarm operational? <br /> Q Yes ❑No' Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> ❑ <br /> Yes E]NoWere all sensors installed at lowest point of secondary containment and positioned so that other equipment will not' <br /> interfere with their proper operation? <br /> ❑ Yes ❑No` X N/A If alarms are relayed to a remote monitoring station,is all communications equipment(e.g.modem)operational? <br /> For pressurized piping systems,does the turbine automatically shut down if the piping secondary containment <br /> Q Yes ❑No ❑N/A monitoring system detects a leak,fails too erate,or is electrically disconnected?If yes:which sensors initiate positive <br /> shut-down?(check all that apply) LxjSump/Trench Sensors; ❑x Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? ❑x Yes ❑No <br /> X❑ Yes ❑No ❑N/A For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e.:no mechanical <br /> overfill prevention valve is installed),is the overfill warning alarm visible and audible at the tank fill points(s)and operating <br /> properly? If so,at what percent of tank capacity does the alarm trigger? so i <br /> ❑ Yes` ❑x No Was any monitoring equipment replaced?If 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 /> ❑ <br /> Yes- ❑x No Was liquid found inside any secondary containment systems designed as dry systems?(check all that apply) ❑Product; <br /> ❑ Water. If yes,describe causes in Section E,below. <br /> ❑x Yes ❑No Was monitoring system set-up reviewed to ensure proper settings?Attach set-up reports,if applicable. <br /> ❑x Yes ❑No' Is all monitoring equipment operational per manufacturers'specifications? <br /> "In Section E below,describe how and when these deficiences were or will be corrected. <br /> E. Comments: <br /> L-8: IS LABELED VAPOR SENSOR. (VEEDER ROOT SENSOR, MODEL NUMBER 323) AND L-9: IS LABELED PRODUCT SUMP. <br /> (VEEDER ROOT SENSOR, MODEL NUMBER 323)BOTH SENSOR'S TESTED AND CONFIRMED OPERATIONAL. <br /> Page 2 of 3 Based on CA form dated 03/01 <br />