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Monitoring System Certification �epfC <br /> A Results of Testing/Servicing <br /> Software Version Installed: 119.05 <br /> Complete the following checklist: <br /> El Yes ❑ No* Is the audible alarm operational? <br /> El Yes ❑ No* Is the visual alarm operational? <br /> 0 Yes ❑ No* Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> El Yes ❑ No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will <br /> not interfere with their pro2er operation? <br /> ❑ Yes ❑ No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> El N/A operational? <br /> ❑x 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) El Sump/Trench Sensors; El Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? El Yes; ❑No. <br /> ❑ Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br /> El N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> fill point(s and operating ro erl ? If so,at what percent of tank capacity does the alarm trigger? _% <br /> ❑Yes* ❑x 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* El 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 /> [EYes ❑ No* Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable <br /> ®Yes ❑ No* Is all monitoring equipment oerational per manufacturer's specifications? <br /> * In Section E below,describe how and when these deficiencies were or will be corrected. <br /> Comments: <br /> UN-036-2/4 Page 2 of 4 Rev.06/04/01 <br /> www.unidocs.org <br />