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04/23/2004 20:13 4089710135 SSS INC • PAGE 04 <br /> Monitoring System Certification- PIge 2 of 3 <br /> Site address: 257-5 C'.OLjntry Club Blvd. @. Plymouth Date of TestingiSery Icing- 3124104 <br /> D. Results of Testing/Servicing; <br /> Software Version Installed: <br /> Complete the following checklist; <br /> ®Yes ❑ No* Is the audible alarm operational'? <br /> 9 Yes 0 No* Is the visual alarm operational? <br /> 3 Yes ❑ No* Were all sensors visually inspected, functionally tested, and confined operational'? <br /> ®Yes ❑ Noy' Werr sll s,ensars installed at lowest point of secondary containment and positioned so that other equipment will <br /> not interfere with their proper Operation'? <br /> 0 Yes ® * If alarms are relayed to a remote monitoring station, is all communications equipment(e.g. modem) <br /> ❑ Ni operational? <br /> ®Yes 0 No" For preasurized piping systems,does the turbine automatically shut down if the piping secondary containment <br /> Cl N/A monitoring,system detects a leak,fails to operate,or is electrically disconnected? If yes: which.sensors initiate <br /> positive.shut-down'? (Check rill that apply) &Sump/'french Sensors; ❑Dispenser Containment Sensors. <br /> Didyou confirm positive shot-down due to leaks and sensor failure/disconnection? 3 Yes ❑No <br /> ❑1'es ❑ No" Fut tztuk systo1115 th4it Lztilizc tic monhOfing system as the primary tank overfill warning dovioe (i.e. no <br /> 0 N/A mechanical ovcrIlid prevention valve is installed),is the overfill warning alarm visible and audible at the tank <br /> fill point(s) and operating properly? If so, at what percent of tank capacity does the alarm trigger'? 0 <br /> ❑Yes* 11 No Was any monitoring equipment replaced'? If yes,identify specific sensors,probes,or other equi.pniem replaced <br /> and list the manufacturer name and model for all replacement parts in Section E,below, <br /> ❑Ycs* ® No Was liquid found inside a.ny sceondary containmi:nt systems designed as diy systems'? (Check alt that apply) <br /> ❑Product; ❑ Water. If yes,describe causes in Section E,below. <br /> 19 Yes ❑ No* Was monitoring system set-up reviewed to ensure ro er settings'? Attach set-up re ores, i applicable.) <br /> ®Ycs ❑ No* Is all monitoring equipment operational per manufacturer's speeincadons? <br /> * In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: Veeder Root not callin , a e talked wit,( <br /> it Stan. a could call in but not able to get <br /> alarm back. wlIII call LC Service for repair <br />