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D.Results of Testing/Servicing <br /> Software Version Installed: none <br /> Complete the following checklist: <br /> o Yes "; No* Is the audible alarm operational? <br /> G Yes r No* Is the visual alarm operational? <br /> ;",; Yes G No* Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> • Yes a No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with <br /> heir proper operation? <br /> ++ Yes r No* If alarms are relayed to a remote monitoring station,is all communications equipment(e.g.modem)operational? <br /> ' N/A <br /> Yes r No* For pressurized piping systems,does the turbine automatically shut down if the piping secondary containment monitoring <br /> stem detects a leak,fails to operate,or is electrically disconnected?If yes:which sensors initiate positive shutdown?(Check <br /> + N/A all that apply) Sump/Trench Sensors; r.Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection?r Yes; r No <br /> 4 Yes7,0a No* For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e.no mechanical overfill <br /> prevention valve is installed),is the overfill warning alarm visible and audible at the tank fill point(s)and operating properly?If <br /> N/A o at what percent of tank capacity does the alarm trigger?% <br /> Yes* G No Was any monitoring equipment replaced?If yes,identify specific sensors,probes,or other equipment replaced and list the <br /> manufacturer name and model for all re lacement parts in Section E below. <br /> Yes* 0° No as liquid found inside any secondary containment systems designed as dry systems?(Check all that apply) <br /> Product; r Water.If yes,describe causes in Section E below. <br /> r No* as monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable <br /> r No* s 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 /> The Owens and the prefered monitors are light and buzzer only no printer <br /> Monitoring System Certification Page 2 of 3 12/07 <br />