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D. Results of Testing/Servicing <br />Software Version Installed: <br />Complete the following cheeky: <br />SEP 13 2016 <br />® Yes <br />❑ No* <br />Is the audible alarm operational? <br />® Yes <br />❑ No" <br />Is the visual alarm operaYronal? <br />® Yes <br />❑ No' <br />Were all sensors visually inspected, functionally tested, and confirmed operational? <br />® Yes <br />❑ No" <br />Were all sensor's installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper <br />operation? <br />❑ Yes <br />❑ No* <br />if alarms are relayed to a remote monitoring station, is all communications equipment (e.g., modem) operational? <br />® N/A <br />❑ Yes <br />13 No* <br />For pressurizedpiping systems, does the turbine automatically shut down If the piping secondary containment monitoring system detects a leak, <br />® N/A <br />falls to operate,or is If yes: which sensors initiate positive shut -down? (Check aN that apply) ❑ Sump/Trench <br />Sensors serser Containment connected? <br />Did you confirm positive shut -down due to leaks AW sensor failureldisconnectior? ❑ Yes; ❑ No. <br />❑ Yes <br />❑ No" <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e., no mechanical overfill prevention valve is <br />® NIA <br />Installed),warringWorm visible and audible at the tank 811 point(s) and operating properly? If so, at what percent of tank capacity <br />does �®alarm trigger? <br />❑ Yes <br />® No <br />Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name <br />and model for all replacement parts In Section E, below. <br />❑Yes" <br />® No <br />Was liquid found Insde any secondary containment systems designed as dry systems? (Check all that apply) <br />❑ Product; ❑ Waren. 9 yes, describe causes In Section E, below. <br />® Yes <br />❑ Pio' <br />Was monitoring system -up reviewed to ensure proper settings? Attach set up reports, if applicable <br />® Yes <br />❑ No" <br />Is all monitoring equipment operational per manufacturers specifications? <br />In Section E below, describe how and when these deficiencies were or will be corrected. <br />E. Comments: <br />Monitoring System Certification Page 2 of 4 2/21/07 <br />