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Monitoring Si stem Certification 0 9 <br />1). Results of Testing/Senicing <br />Software Version Installed: 29.01 <br />I -Om Me <br />Inc 1011o" <br />I <br />C I <br />Is the audible alarm operational? <br />Ej No* <br />E] Yes <br />E] No* <br />Is the v isual alarm operational'.' <br />0 Yes <br />C3 No* <br />tiIoere .all sensors visually inspected. functionaM tested. and confirmed operational? <br />[Y] Yes <br />❑ No* <br />\kr,,_, all sensors installed at lo%%c,.,t point m'sccondarl containment and positioned so that other equipment will <br />not intertere with their proper operation <br />,E] Yes <br />El No* <br />It' alarms are rela\ed to it remote mmiitoring station. i,, all co inunications equipment (e.u., modem) <br />0 N A <br />operational? <br />Cl No* <br />I or pressurized piping ,\sjerus, does the: turbine automatically shut dO\%n if the piping secondarx containment <br />El 's A <br />monitorine, s,,stefn detects a leak. tails io operate, or is electricalk disconnected" If des: vOich Wnsors initiate <br />positive shut -down' WhecA a// dial (it pivi 0 Sump I retch Sensors: El Dispenser Containment Sensors, <br />Did \ou confirm positive shut-khmn due to leaks and sensor C,ailure disconnection? 0 Yes: F1 No, <br />El Yes <br />El No* <br />For tank s}stenis that utilize the nionitorinu, ,}stens its the primar-N tank overfill warnin- device (i.e., no <br />E] N A <br />mechanical overfill prevention valve is installed). is the overfill %Narniru-, alarm visible and audible at the tank <br />till point(s) and operating properl}? lfmi, at %\ hat percent oftank capaciv. does the alarm trigger"' <br />...... . ...... . <br />❑ Yo* <br />Ox No <br />kiv'as any monitoring equipment replaced" lt'\cs. identil', specific sensors. probes. or other equipment replaced <br />and list the manufacturer name and model for all replacement parts in Section F, below, <br />❑ Yes* <br />E No) <br />Was liquid Lound inside aril ,econdar\ containment systems designed -s dr\ o,sterns" at/ that aly,AJ I <br />0 Product: E] Water. describe causes in Section E, below. <br />Yes <br />4❑31 <br />10* <br />01 No * <br />Was nion itori no s% stem set-up r -c\ i ekk ed til ensure proper set I i ng S? A Itac It tip reports. it appI i cah le <br />C No* <br />, �1- <br />Is all monitoring equipment operational per manuf'acturer's specificaiion,,? <br />- - - <br />* In Section E below, describe how anti when these deficiencies were or will be corrected. <br />Page 2 of 3 <br />