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From: Franzen-Hill Inc. To: 12094683433 Page:4/8 Date: 1/20/2014 4:36:47 PM <br /> Monitoring system certification <br /> D. Results of Testing/Servicing <br /> Software Version installed-. AS3E31G <br /> CO left the follow checkillst: <br /> 0 Yes U NO* is the audible alarm <br /> 0 Yes 0 Is the visual alann operational? <br /> [I Yes No* Were all Sensors visually inspected,functionallyAcd,and cont' omrafiord� <br /> C@ Yes [3 No* Were all Sensors installed at 1OWC9 POiAL.Of.S=UdWy_coWAW=Rt and positioned so that Other equipment <br /> will not interfere with theirr�tio�a? <br /> ng Station, is ail-communications equipment (e.g.,jinodem) <br /> Yes Q No* If alarms we relayed to a remote monitoring <br /> N/A operational? <br /> n n <br /> Yes [3 No* For pressurized piping systems,does the turbine automatically shut down if the piping secondary containment <br /> ❑ NIA monitoring system detects a le* fails 10 operate, or is electrically disconnected? If Y= <br /> -which sensorsi <br /> initiate positive shut-down? (Check all that apply) Ig SumpjTreftch Sensors; 0 Dispenser Containment <br /> Sensors. <br /> Did you confirm positive shut-down due to leaksEM4 sensor lailure/disconnection? 121 Yes; 0 No. <br /> roaming device (i.e., no <br /> Y -ENo* For tank systems that utilize the monitoring system as the primary tank overfill v <br /> 0 NIA mechanical overfill prevent=valve is installed),is the oveffill1warning alarm visible and audible at the tank <br /> fill point(s)and U=Ikt of tank camity does the alarm trigger? % <br /> monitoring equipment replaced? jf yes, identify specific sensors, probes, or other equipment <br /> N No Was any <br /> replaced and list the mamifacturer name and model for all in parts in Section E,below. <br /> 0 c' <br /> Yes <br /> [3 Yes* <br /> yes* <br /> as dry systems? (Check all that apply) <br /> s_*_ No Was liquid found inside any secondary containinad systems designed <br /> F[03Ye <br /> 0 Product-, 0 Water. ff yes,describe causes in Section E_below. -------- <br /> 0 Yes —6-N—O* Was monitoring system set-up reviewed to d up nwrts,if Lpplicable <br /> 0 Yes <br /> 14 yes--- No* Is all monitoring equipment operational per manufacturer's ications? <br /> Yes <br /> In Section R below,describe how and when these deficiencies were or will be corrected. <br /> L Comments: ALL ITEMS TESTED PASS. <br /> U <br /> JAN 2 1 <br /> -_"'4VIRONMENTS '.' <br /> This fax was sent with GFI FAXmaker fax server. For more information,visit: hftp://www.gfi.com <br />