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Monitoring System Certification <br /> Site Ad m Date of Testing(Servicing: <br /> D. Results of Testing/Servicing <br /> Software Version Installed: <br /> C fete the follow! ist: <br /> l. <br /> es ❑ No* Is the audible alarm tional? <br /> CJjYes ® No* Is the visual alarmoperational? <br /> es ❑ No* Were all sensors Xisma inspected,ftcuonaily tested,and confirmed tional? <br /> Yes ❑ No* Weft all sensors installed at lowest point of secondary containment and positioned so that other equipment <br /> will not i1ftifte with their Proper operation? <br /> ❑ eyes ❑ o* If AUrms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> N/A I opetational? <br /> Yes ❑ No* For pressurized piping systems,does the turbine automatically shut down if the piping secondary contmaiftwunent <br /> ❑ N/A monitoring system detects a leak, faits to operate, or is <br /> `lectrically disconnected? yes: which sensors <br /> initiate positive shut-down.? (Check all that apply) ® Sump/Trench Sensors; ftIMspenser Containment <br /> Sensors. <br /> ' Did your c onfirrn positive shut-down due to leaks and sensor failure/disconnection? eyes; ❑No. <br /> Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br /> ❑ N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> fill int s and 1 ? if so,at what t of tank caci does the alarm tri 'M'?7�/0 f- <br /> ❑ Yes* No Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment <br /> and list the manufacturer name and model for all tacement in Section E below. <br /> ❑ Yes* lif No Was limed found inside any secondary containment systems designed as dry <br /> ❑ If be in 'on E,below. systems'! (Check all that apply) <br /> ❑ <br /> es ❑ o* Was monitoring system set-upto ensure proper settings? <br /> Yes Q No* LS-4—awnitoring CqWPM=t 9perational per manufacturer's ons? <br /> In Section E below,destribe how and when these deficiencies were or will be corrected. <br /> E. Comments: <br />