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*itoring System Certification 9 <br /> site Address: 2908 BENJAMIN HOLT DR. Date of Testing/Service: 04/20/2006 <br /> D. Results of Testing/Servicing <br /> Software Version Installed: 17.01 <br /> Complete the following checklist: <br /> X Y. f-I No- Is the audible alarm operational? <br /> El Yes, El W. Is the visual alarm operational? <br /> Yes []No- Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> Yes Elm. Were al sensors installed at lowest point of secondary containment and positioned so that other equipment will not <br /> interfere with their proper operation? <br /> LLY-- 0 No NtA If alarms are relayed to a remote monitoring station,is all c*mmunications equipment(e.g.modem)operational? <br /> For pressurized piping systems,does the turbine automatically shut down if the piping secondary containment <br /> M Yes E]No' DwA monitoring system detects a leak,fails to operate,or is electrically disconnected?If yes:which sensors initiate positive <br /> shut-down?(check all that apply) Ej SumpfTrench Sensors; 0 Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks aud sensor failure/disconnection? oYes No <br /> El Yes ®NO <br /> TIN'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 instaKed),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? 90 % <br /> Yes* nx 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 /> Yee ®No Was liquid found inside any secondary containment systems ned as dry systems?(check all that apply) [-]Product; <br /> [] Water. If yes,describe causes in Section E,below. <br /> Yes 11 M Was monitoring system set-up reviito ensure proper settings?Attach set-up reports,if applicable. <br /> Yes nNo-1 Is aH monitoring equipment operational per manufacturers'specifications? <br /> --------L- <br /> In Section E below,describe how and when these deficiences were or will be corrected. <br /> E. Comments: <br /> EXTRA SENSORS 794380-208 ON LINE SUMP AND VAPOR POD SUMP <br /> Page 2 of 3 Based on CA for dated 03/01 <br />