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Monitoring System Certification-Page 2 of 3 <br /> Site Address: 1103 S.Main St Date of Testing/Servicing: 2/9/11 <br /> D. Results of Testing/Servicing <br /> Software Version Installed- 330.00 <br /> Com late the foil hig checklist: <br /> a Yes ❑ No* Is the audible alarm operational? <br /> a Yes ❑ No* Is the visual alarm operational? <br /> ® Yes ❑ No* Were all sensors visually inspected,functionally tested,and confirmed o tional? <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 /> 0 Yes ❑ No* If alarms are relayed to a remote monitoring station,is all communications equipment(e.g.modem) <br /> ❑ N/A operational? <br /> 9 Yes ❑ No* For pressurized piping systems,does 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 that apply) ® Sump/Trench Sensors; ® Dispenser Containment Sensors. <br /> Did you confirm 22sitive shut-down due to leaks and sensor failure/disconnection? ® Yes 17 No <br /> ❑ Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e.no <br /> a N/A mechanical overfill prevention valve is installed),is the overfill warning alarm visible and audible at the tank <br /> fall in s)and operatipj property? If so,at what percent of tank i does the alarm tri er? 0 % <br /> ❑ 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 re lacemcnt Rarts in Section E,below. <br /> ❑ Yes* 0 No Was 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 /> 0 Yes ❑ No* Was monitoring system.set-u reviewed to ensure pMr settings? Attach set-up reports, itaWicabled <br /> ® Yes ❑ No* Is all monitoring uipment operational per manufacturer's specifications? <br /> *In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: Permit Final Inspection with Muni Naidu for Board Replacement/Cold Start. <br />