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MAitoring System Certification <br /> A Results of Testing/Servicing <br /> Software Version Installed: 29.01 <br /> Complete the foliowin checklist: <br /> • Yes 0 No* Is the audible alarm operational? <br /> • Yes 0 No* Is the visual alarm operational? <br /> • Yes El No* Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> • Yes El No* 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 /> Fl Yes ❑ No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g., modem) <br /> N/A operational? <br /> 0 Yes n No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br /> 0 N/A 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) 0 Sump/Trench Sensors; 0 Dispenser Containment Sensors. <br /> I Did you confirm positive shut-down due to leaks and sensor failure/disconnection? 0 Yes; 0 No. <br /> � Yes <br /> O 0 No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e., no S N/A mechanical overfill 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? % <br /> • Yes* 0 No 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 replacement parts in Section E,below. <br /> • Yes* 0 No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) <br /> [I Product; []Water. If yes,describe causes in Section E,below. <br /> Yes 0 No* Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable <br /> Yes <br /> Yes ng 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 /> Page 2 of 3 <br />