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a <br />GETTCER-RYAN INC. 0 <br />D, Results of Testing/Servicing <br />Software Version Installed: 333.05 <br />Comolete the followina checklist: <br />GR • 20-641921 <br />RECEIVED <br />OCT 18 t <br />- <br />Yes <br />❑ o <br />is the audible alarm operational? <br />E <br />Yes <br />® No' <br />Is the visual alarm operational? <br />HE <br />E <br />Yes <br />® No` <br />Were all sensors visually inspected, functionally tested, and confirmed operational? NVIRONMFENTAL <br />Yes <br />® No' <br />Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not iGNPAMMENT <br />proper o ration? <br />Yes <br />® No` <br />If alarms are relayed to a remote monitoring station, is all communication equipment (e.g. modem) operational? <br />® N/A <br />E <br />Yes <br />® No" <br />For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment monitoring system <br />® N/A <br />detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut -down? (Check all that apply) <br />E Sump/Trench Sensor; E Dispenser Containment Sensor. Did you confirm positive shut -down due to leaks and sensor <br />failure/disconnection? E Yes; ® No. <br />E <br />Yes <br />® No` <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no mechanical overfill prevention <br />® N/A <br />valve is installed), is the overfill warning alarm visible and audible at the tank fill point(s) and operating properly? If so, at what percent <br />of tank capacity does the alarm trigger? ___L0_% <br />® <br />Yes <br />E No <br />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 />Yes <br />E No <br />Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) ® Product; Q Water. If <br />yes, describe causes in Section E, below. <br />- <br />Yes <br />® No' <br />Was monitoring system set-up reviewed to insure proper settings? Attach set-up reports, if applicable. <br />Lg_Y- <br />I ® No' <br />I Is all monitoring equipment operational per manufacture's specifications? <br />- m aecuon a oeiow, oescnoe now ana wnen mese aenciencres were or win oe correca+a. <br />E. Comments: <br />Monitoring System Certification Page 2 of 4 12107 <br />N <br />W <br />