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Monitoring System Certification <br /> D. Results of Testing/Servicing <br /> Software Version Installed: <br /> Com lete the following checklist: <br /> Yes ❑ No* Is the audible alarm operational'? <br /> Yes Ll Ll <br /> Is the visual alarm operational'? <br /> i <br /> Yes LlNo* Were all sensors visual) inspected, functional) tested,and confirmed o erational' <br /> Yes I] No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment ill <br /> not interfere with their proper operation'? <br /> ❑ Yes ❑ No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modern) <br /> X N/A operational'.? <br /> 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 applv)ASump/Trench Sensors; ❑ Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure!disconnection7 Yes; ❑ 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 audiblethe tank- <br /> fill <br /> ank <br /> fill point(s)and o eratin rproperly'? If so, at what percent of tank capacity does the alarm trigger" �0 ") <br /> ❑ Yes* r4 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 G, below. <br /> ❑ Yes* No Was liquid found inside any secondary containment systems designed as dry systems'? (Chc-ck all thin upph O <br /> Product; ❑ Water. If yes,describe causes in Section E,below. <br /> Yes ❑ No* Was monitoring system set-Lip reviewed to ensure proper settings'? Attach set Lip rc Orts, if a livable — <br /> Yes ❑ No* Is all monitoring equipment oerational per manufacturer's spec i ficat ions'? <br /> * In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: <br /> UN-036-2/4 Page 2 of 3 Rev.06/04/01 <br /> www.unidocs.org <br />