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Monitoring System Certification <br /> A Results of Testing/Servicing <br /> Software Version Installed: <br /> Complete the following checklist: <br /> ❑ Yes ❑ No* Is the audible alarm operational? <br /> ❑ Yes ❑ No* Is the visual alarm 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 positi so that other equipment will <br /> not interfere with their proper operation? <br /> 7! <br /> ❑ Yes ❑ No* If alarms are relayed to a remote monitoring station, is a ommunications equipment (e.g. modem) <br /> ❑ N/A operational? <br /> ❑ Yes E3 No* For pressurized piping systems, does the turbine a atically shut down if the piping secondary containment <br /> ❑ N/A monitoring system detects a leak,fails to apeptL <br /> , or is electrically disconnected? If yes:which sensors initiate <br /> positive shut-down? (Check all that 5aPKIQ Sump/Trench Sensors; ❑ Dispenser Containment Sensors. <br /> Did you confirm positive shut-d due to leaks and sensor failure/disconnection? ❑Yes; ❑No. <br /> ❑ Yes ❑ No* For tank systems that ut' . the monitoring system as the primary tank overfill warning device (i.e. no 1 <br /> E3 N/A mechanical overfill en ion valve is installed), is the overfill warning alarm visible and audible at the tank <br /> fill point(s)an erating properly? If so, at what percent of tank capacity does the alarm trigger? % <br /> ❑ Yes* ❑ No Was anyjut6hitoring equipment replaced? If yes, identify specific sensors,probes, or other equipment replaced <br /> anthe manufacturer name and model for all replacement parts in Section E,below. <br /> ❑ Yes* ❑ No as liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) <br /> ❑Product; ❑ Water. If yes,describe causes in Section E,below. <br /> ❑ Yes No* Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable <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 be corrected. <br /> E. Comments: <br /> Page 2 of 3 03/01 <br />