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. Monitoring System Certification <br />. Site Address: <br />Software Version Installed: &— e2 ';2' <br />Date of Testing(Servicing: 7 <br />gKqfes <br />o No* <br />is the audible alarm operationar? <br />Erl,cs <br />b No* <br />is the visual alarm %=—afional? <br />Er'9�es <br />0 No* <br />Were all sensors visually inspected, functionally and confirmed oper-ational? <br />El Yes ' <br />grNo* <br />Were all sensors installed at lowest point of secondary containment and positioned so that other equipment <br />will not interfere with their ET2g 9?gton? <br />0 Yes <br />0 No* <br />If alarm are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br />WIIA <br />operational? <br />eYes <br />0 No* <br />For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br />0 N/A <br />monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors <br />initiate positive shutdown? (Check all that apply) ffSump/Treuch Sensors; n Dispenser Containment <br />Sensors. <br />Did you confirm positive shut -down due to leaks and sensor fadureldisconnection? gryes; ONo. <br />Q Yes <br />[I No* <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br />O'NS/A <br />mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br />fillAt poin s) and opera4gg pr 9perly? If so, at what percent of tank capacity does the alarm trigger? ?7?90/o <br />❑ Yes* <br />a -No <br />Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment <br />I Leplaced and list the manufacturer name and model for all replacement parts in Section E, below. <br />ErYes* <br />0 No <br />Was liquid found inside any secondary containinent systems designed as dry systems? (Check all that apply) <br />0 Product, UWater. If jLcrb describe causes in Section E, below. <br />2-tes <br />0 No* <br />Was monitoring system set-up reviewed to ensure proL= settings? <br />t'esI <br />all monitorinmcnt erational per manufacturer's specifications? <br />* In Section E below, describe how and when these deficiencies were or will be corrected. <br />