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Monitoring S)'steni Certification <br />D. Results of Testing/Servicing <br />Sotiware Version Installed: <br />Com tete the following checklist: <br />Yes ❑ No* Is the audible alarm operational? <br />Yes <br />❑ No* <br />Is the visual alarm op erational? <br />Yes <br />Yes <br />❑ No* <br />❑ No* <br />Were all sensors visually inspected, functionally tested, and confirmed operational? <br />Were <br />all sensors installed at lowest point of secondary containment and positioned so that other <br />equipment will <br />not interfere with their proper operation? <br />If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br />operational? <br />For pressurized piping syste , does the turbine automatically shut down if the piping recondary containment <br />❑ Yes <br />❑ No* <br />N/A <br />Yes <br />❑ No* <br />❑ N/A <br />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) 6(.Sump/Trench Sensors; WDispenser Containment Sensors. <br />Did you confirm positive shut -down due to leaks and sensor failure/disconnection? 0 Yes; ❑ No. <br />❑ Yes <br />❑ No* <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. <br />E( N/A <br />no <br />mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br />❑ Yes* <br />No <br />fill oint s and o eratin ro erl If so at what percent of tank capacity does the alarm tri er? % <br />Was any monitoring equipment <br />replaced? If yes, identify specific sensors probes, or other equipment replaced <br />and list the manufacturer name and model for all lacement <br />❑ Yes* <br />No <br />ne arts in Section E. below. <br />Was liquid found inside any secondary containment systems designed as dry systems? (Check all that appy) l C3Product• <br />13Water. If Yes. describe causes in Section E, below. <br />Yes 1 <br />❑ No* <br />Was monit02'As, system set-up reviewed to ensure proRE se 'as? Attach set up reports, if applicable <br />Yes <br />10 No* <br />Is all monitoring ui ment oZerational.Ea manufacturer's ifications? <br />In Section <br />E below, <br />describe how and when these deficiencies were or will be corrected. <br />E. Comments: <br />Page 2 of 3 03/01 <br />