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• 9 <br /> lYloAitoring System Certification <br /> Site Address:. 6-6grt <br /> r1�A-e t 1y c Date of Tes6ng/Servicing: <br /> N' t <br /> D. Results of Tesfing/Servicinig. <br /> Software Version Installed: <br /> Complete the following checklist: <br /> F. es <br /> ❑ No! Is the audible alarm operational? <br /> ❑ No* .Is the visual alarm operatiovl? <br /> ❑ No«' Were all senses functionally tested,and❑ No* Wim all sensors installed at lowed point of seeondary containment and positioned so that other equipment will <br /> not interfere with their proper operation? ' <br /> ❑ Yes 13 No* if alamrs are relayed to a remote monitoring station, is all communications equipment (e g- modem). - <br /> ,g,.�rA operational? . . . . <br /> es (3 No" per piping systems,does the turbine 'caily shut down if the piping secondary containment <br /> s ❑ N/A monitoring a leak,Maris to operate,or is electrically disconnected? If yes:which sensors initiate <br /> positive shut-down? (Check all that apply)-O Sump/T'rench Sensors; ❑Dispenser Containment Sensori. <br /> • ' -Did you confirm positive shut-down due to leaks and sensor faiiluneldisconneWon?_EW f4 No. <br /> -O Yes ❑ No- For tank systems that uti7'rze-thc monitoring system-as-the primary tank overfill warning device (Lie. no <br /> - _ q mechaniral•overfili prevention valine i$installed),is the overfill warning alarm visible and audible at the tank. <br /> -fillpoia s)and opccatiag properly?,If so,at what• of tank' does the alarm trigger? % ; <br /> ❑_Yes*: o' :Was aaymQ egaipmeatrcplaced? Ifyes;ideatifyspaaSicsensors, orother entrcplaced• <br /> - and list the manufactarername andmodel for all replacement parts in Section A below_ _. - <br /> • ®Yes" o . -Wai-tigdt found inside any secondary ent systems designed as dry systems? (Check all that apPl3'� - <br /> -• '❑product ❑Watw.:Hyes, in Seciion.A below, - - <br /> ei. '❑ Iso Was monitoring system sq-W., <br /> reviewed to props settings? <br /> Yes J.®'N®" Is all cgnipment operational permann s oris? <br /> *Ice Section E below;describe hoir and when these deficiencies were or will be COrrecte& .• , . - . <br /> _ E. Comments- ' <br /> CALM-or Page 2.of 3 11/15/99 <br />