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Monttw'ing System Certification-Page 2 of 3 <br /> r <br /> site Address. <br /> 4344 Waterloo Rd Date of Test im_1'Servicing: <br /> 11). Resalt's'of Testing/Servicing 1 <br /> Sotiware Version Ihstalled �Z l ' <br /> Complete the Ilove me checklist: <br /> es * is the audible alarm operational'? <br /> [Vje,; o* Is the visual alarm operational? <br /> Ei�'t es ❑ No* Were all sensors visually inspected. functionally tested.and confirmed operational? <br /> tp)fles ❑ No* Were all sensors installed at lovvest point of secondary containment and positioned so that other equipment will <br /> not interfere with their proper operation" <br /> i;fes ❑ No* If alarms arc relayed to a remote monitoring station. is all communications equipment(c.=. modem! <br /> ❑ NA operational? <br /> r <br /> ❑ No* For pressurized piping systems,does the turbine autoniatically shut down if the piping secondary containment <br /> ❑ N/A monitoring system detects a leak, fails to operas . or is electrically disconnected" styes: which sensors initiate <br /> positive shut-down'? /Cheek a//thin upplt•i Sump;french Sensors: ❑'i�penser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failtrre"ciisconnectiort? 0es ❑ No <br /> ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device(ix, no <br /> i7!1v'A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> fill point(s)and operating properly? if so,at what percent of tank capacity does the alarm trigger? <br /> es*' [I No Was any monitoring equipment replaced" If yes. identity specific sensors, probes,or other equipment replaced <br /> and list the manufacturer name and model for all replacement parts in Section V.below. <br /> ❑ Yes* o Was liquid found inside any secondary containment systems designed as dry syslenis? i0wck<d/rho/appyr <br /> ❑ Product;❑ Water. If yes,describe causes in Section E.below. <br /> erg ❑ No* Was monitoring system set-up reviewed to ensure proper settings? I;nuch.Ne/-u,re wr/s. it a»licuble./ <br /> es ❑ No* is all monitoring equipment operational per manufacturer's specifications? <br /> In Section E below,describe how and when these deficiencies were or will he corrected. <br /> F. Comments: . �� Z Q CIr S �'�PIA <br />