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D.Results of Testing/Servicing RECEIVEL <br /> Software Version Installed: 333.03 <br /> Complete the following checklist: FEB2015 <br /> a Yes s, No* Is the audible alarm operational? <br /> e Yes r No* Is the visual alarm operational? ENVIRONME AL <br /> ITO Yes r No* Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> • Yes rr No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere wit <br /> heir pro <br /> pe o eration? <br /> • Yes r No* f alarms are relayed to a remote monitoring station,is all communications equipment(e.g.modem)operational? <br /> r,; N/A <br /> ro Yes r No* For pressurized piping systems,does the turbine automatically shut down if the piping secondary containment monitoring <br /> system detects a leak,fails to operate,or is electrically disconnected?If yes:which sensors initiate positive shut-down?(Check <br /> N/A all that apply, Sump/Trench Sensors; P Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection?r Yes; r No <br /> Yes r No* For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e.no mechanical overfill <br /> prevention valve is installed),is the overfill warning alarm visible and audible at the tank fill point(s)and operating properly?If <br /> 10 N/A o at what percent of tank capacity does the alarm trigger?% <br /> Yes* r No Nas any monitoring equipment replaced?If yes,identify specific sensors,probes,or other equipment replaced and list the <br /> anufacturer name and model for all replacement parts in Section E below. <br /> Yes* • No as liquid found inside any secondary containment systems designed as dry systems?(Check all that apply,) <br /> Product; r Water.If yes,describe causes in Section E below. <br /> o Yes r No* Nas monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable <br /> e Yes No* s all monitoring equipment operational per manufacturer's specifications? <br /> *In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E.Comments: <br /> Monitoring System Certification Page 2 of 3 12/07 <br />