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04726/2004 14:23 4089710 SSS INC PAGE 05 <br />N1onitoring+ Systen. Certification - Page 2 of 3 <br />5iic. Addrtns: 3725 N. Trincy Blvd. hate of Tcsting!Servicing: 3131104 <br />1), Results of Testing / Sel-vicing <br />Software. Version Installed: 119.05 <br />Coill )let.e the following checklist: <br />® YCs <br />❑ NQ* <br />is the audible alarm operation <br />Is the visual alarm operational <br />Yes <br />❑ No" <br />®Yes <br />❑ Not' <br />Were all sensors visually insp <br />C9 Yrs <br />0 No's <br />Wc;n: at) scmor6 installed at I <br />not interferc with their proper <br />(9 ti'es <br />❑ No" <br />If alann1s are relayed to a rely <br />❑ N/A <br />operational'? <br />® Yes <br />❑ No's <br />For pressurized piping systei <br />❑ }� /A <br />monitoring system detects a 1 <br />positive shut-dOW[S? (Check c <br />Diel you confirm ositive shu <br />�❑ Yes <br />0 No's` <br />For tank systems that utilize t <br />® N"A <br />mechanical overfill. preventio <br />fill point(s) incl operatingr <br />❑'Yes* <br />® No <br />Was any monitoring equipm <br />and. list the nla.nufacturer nan. <br />❑ Yus"` <br />x No <br />Was liquid tnuud insiklt au.y <br />❑ Product, 0 Water. if es, <br />®'Yes <br />❑ Flo'" <br />Was mon.itorinc) system set -u <br />p1'1'es <br />❑ No`" <br />J.s at't moltitoring equipment <br />'Cleo, IlinGR4naily XbMU, 21HU �vuuitiia.X,u <br />owest point of secondary rnntainment and positioned so that other equipment will <br />o eration'? <br />otc monitoring station, is al]. communications equipment (e_g_ modern) <br />ns, does the turbine automatically shut down if the piping secondary containment <br />eak, fails to nperate, or is electrically disconnected? If yes: which sensors initiate <br />,it that apply) a Sump/Trench Sensors; (9 Dispenser Containment Sensors, <br />t -down due to leaks and sensor failure/disconnection'? ® Yes 0 No <br />Ile tno.nitorirlg syslcr[t aN tiic; pLiniaiy tank overfill wal-ning device (i.e. no <br />n valve is installed), is the overfill warning a.larrn visible and audible at the tank <br />operly? If so, at what percent of tank capacity does the alarm trigger? 0 % <br />ent replaced`? if yes, identify specific sensors, probes, or other equipment replaced <br />ie and model for all re lacement parrs in Section.E, below, <br />secondary con.tainmont Systems designed as dry -systems.? (C'heck all thnr. apply) <br />describe causes in Section. E, below, <br />p reviewed to ensure proper settings? (Attach ,ret-crT� rel�or ts, i.f ccpplicxt6le.) <br />operation.] per manufacturer's speeifications? <br />A In Set ion E bclo4v, de!+cribe hoar and when these deficiencies were or will be corrected. <br />E. Comments: <br />