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Software Version installed: <br />UrIVIRIN <br />• Yes <br />❑ <br />No* <br />Is the audible alarm operational? <br />®Yes <br />❑ <br />No* <br />Is the visual alarm operational? 1; 113 C I IME <br />• Yes <br />0 <br />Ne <br />Were all sonsors visually inspeelvd, functionally tested, and confirmed operational? 1-11PA1 <br />ALM <br />• Yes <br />[3 <br />Ne <br />Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper <br />operation? <br />• Yes <br />E3 <br />No* <br />If alarms are relayed to a remote monitoring station, is all communications equipment (e.g., modem) operational? <br />0 <br />N/A <br />[3 Yes <br />E3 <br />Ne <br />For pressurized pipings does the turbine automatically shut down if the piping secondary containment monitoring system detects a leak, <br />N/A <br />fails to operate, or is electrically disoonnected? If yes: which seneors initiate positive shut -down? (Check all that apply) 0 SumpfTranch <br />Sensors; Cj Dispenser Containment Sensors. <br />Did you confirm positive shut -down due to leaks iind sensor failure/disconnection? [3 Yes; [3 No. <br />0 Yes <br />0 <br />No* <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e., no mechanical overfill prevention Volvo is <br />N/A <br />installed), is the overfill warning alarm visible and audible at the tank fill point(s) and operating propedy? If so, at what percent of tank capacity <br />does the alarm triggeO % <br />[3 Yes <br />0 <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 />OYes* <br />0 <br />No <br />Was liquid found inside any secondary containment systerns designed as dry systems? (Check at/ that apply) <br />0 Product; 0 Water. If yes, describe causes in Section E, below. <br />• Yes <br />0 <br />No* <br />Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if applicable <br />• Yes <br />0 <br />Ne <br />Is all monitoring equipment operational per manufacturer's specifications? <br />In S E below, describe how and when these deficiencies were or will be coffected. <br />Monitoring System Certification Page 2 of 4 2/21/07 <br />