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0 REGF.14tD <br />Monitoring System Certification - Page 2 of 3 <br />MAy 18 205 <br />Site Address: 2701 March Ln.t' fferft"91 C * ! Servicing: 4123/16 <br />tNVIMI ffill fA <br />D, Results of Testing / Servicing LJC!4tTUM MNT <br />Software Version Installed- 331.00 <br />Complete the folio in checklist, <br />0 Yes <br />0 No* <br />Is the audible alarm operational? <br />N Yes <br />0 No* <br />Is the visual alarm operational? <br />N Yes <br />0 No* <br />Were all sensors visually ins ected, functionally tested, and confirmed ogerational? <br />0 Yes <br />0 No* <br />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 />H Yes <br />0 No* <br />If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br />0 N/A <br />operational.? <br />C1 Yes <br />0 No* <br />For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br />0 N/A <br />monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate <br />positive shut -down? (Check all that apply) a Sump/Trench Sensors; 0 Dispenser Containment Sensors. <br />Did you confirm positive shut -down due to leaks and sensor fail ure/disconnection? M Yes 0 No <br />0 Yes <br />0 No* <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br />0 N/A <br />mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br />fill eoint(s) and operating properly? If so, at what percent of tank capacity does the alarm trigger? 0 % <br />0 Yes* <br />19 No <br />Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced <br />and list the manufacturer name and model for all mplacement parts in Section E, below, <br />0 Yes* <br />it No <br />Was liquid found inside any secondary containment systems designed as dry systems" (Check all that apply) <br />0 Product; 0 Water. If yes, describe causes in Section E, below. <br />0 Yes <br />1 0 No* <br />Was monitorinsystem set-up reviewed to ensure proper settings? LAttach set-zT reports, if applicable.) <br />N Yes <br />1 0 No* <br />Is all monitoring equipment operational per manufacturer's specifications? <br />* In Section E below, describe bow and when these deficiencies were or will be corrected. <br />E. Comments: Monitor Certification performed on L3 Sensor for Permit Final due to replacement of 87 Produlzi <br />Relay. I <br />