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• • WO-8842 <br /> Monitoring System Certification <br /> D. Results of Testing/Servicing <br /> Software Version Installed: <br /> Complete the following checklist: <br /> El Yes []No* Is the audible alarm operational'? <br /> ❑Yes ❑No* Is the visual alann operational'? <br /> ❑Yes []No* Were all sensors visually inspected,functionally tested,and confirmed operational'? <br /> ❑Yes ❑No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will <br /> not interfere with their proper operation? <br /> ❑Yes []No* If alarnis are relayed to a remote monitoring station, is all communications equipment (e.g., modem) <br /> ❑N/A operational? <br /> ❑Yes []No* For pressurized piping systems, docs the turbine automatically shut down if the piping secondary containment <br /> ❑N/A monitoring system detects a leak, fails to operate,or is electrically disconnected? If yes: which sensors initiate <br /> positive shut-down'? (Check all shat apph) ❑Sump1'rench Sensors; ❑Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure!disconnection? ❑Yes; ❑No. <br /> ❑Yes []No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e., no <br /> ❑NIA 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 /> C1 Yes* ❑No Was any monitoring equipment replaced'? If yes, identify specific sensors,probes,or other equipment replaced <br /> and list the manufacturer name and model for all replacement parts in Section E,below. <br /> ❑Yes* ❑No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apph) <br /> []Product, ❑Water. Ifyes,describe causes in Section E.below. <br /> Oyes []No* Was monitoring system set-up reviewed to ensure proper settings'?Attach set up reports,if applicable <br /> ❑Yes ❑No* Is all monitoring equipment operational per manufacturer's specifications? <br /> * In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: <br /> Performed Functionality Test of the float and chain mechanism in dispenser#3/4-91 product, witnessed by <br /> Aaron Hang. <br /> Page 2 of 3 <br />