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e <br /> ` Monitoring System Certification-Pagw <br /> f 3 is <br /> Site Address: 2320 N.El Dorado Date of Testing/Servicing: 5-30-01 <br /> D. Results of Testing/Servicing <br /> Software Version Installed: 119.02 <br /> Complete the following checklist: <br /> 0 Yes ❑ No* Is the audible alarm operational? <br /> 0 Yes ❑ No* Is the visual alarm operational? <br /> 0 Yes ❑ No* Were all sensors visually inspected,functionally tested,and confirrmed operational? <br /> 0 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 /> 0 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 positive shut-down due to leaks and sensor failure/disconnection? 0 Yes; ❑No. <br /> ❑ Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br /> 0 N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> fill point(s)and o eratin ro erl ? If so,at what percent of tank capacity does the alarm trigger? % <br /> ❑ Yes* 0 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* 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 /> ❑x Yes ❑ No* Was monitoring system set-up reviewed to ensure proper settings? Attach set-up reports, if a licable. <br /> 0 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 /> E. Comments: <br /> UN-036-3/6 hnp://www.unidocs.org Rev.08/22/00 <br />