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Aug. 6. 2018 9:30AM Donlee Pump Co No. 0377 P. 3 <br /> Monitoring System Certification <br /> D. Results of Testing/Servicing 1-3 C F I VE. <br /> D <br /> Software Version Installed: 0 6 ?.0 18 <br /> Complete the following checklist- ENVIRONMENTAL <br /> * Yes [3 No* Is the audible alarm operational? HEMTH 111--PAPTKIENT <br /> * Yes [j No* Is the visual alarm operational? <br /> fil Yes [I No* Were all sensors visually inspected,fimctionally tested,and confirmed operational? <br /> id Yes 0 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 /> Yes 0 No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g., modem) <br /> L] N/A operational? <br /> E9 Yes L) No* For pressurized piping systems,does the turbine automatically shut down if the piping secondary containment <br /> Ej 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) M Suinpffrench Sensors; Eff Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? 91 Yes; 0 No. <br /> 0 Yes 0 No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e., no <br /> N/A mechanical overfill prevention valve is installed),is the overfill warning alarm visible and audible at the tank <br /> 0 point(s)and operating properly? If so,at what percent of tank capacity does the alarm trigger? % <br /> El Yes* IN 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 11,below. <br /> ST Yes* jj No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) <br /> 0 Product;J9 Water. If yes,describe causes in Section E,below. <br /> JW Yes El No* Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable <br /> R9 Yes 0 No* Is all monitoring 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 /> 2r,MoveA w!-1 a- IrAAQ O-C <br /> Rev.OW7109 <br />