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Monitoring System Certification <br /> A Results of Testing/Servicing <br /> Software Version Installed: 16.04 <br /> _Ciomplete the follo ing checklist: <br /> 0 Yes 171 No*- Is the audible alarm operational? <br /> 19 Yes 171 No* Is the visual alarm operational? <br /> 0 Yes El No* Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> Z Yes 0 No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will <br /> I not interfere with their proper operation? <br /> 0 Yes El No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g., modem) <br /> 0 N/A operational? <br /> 0 Yes 0 No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br /> C] 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) 0 Sump/Trench Sensors; 0 Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? 0 Yes; E]No. <br /> 0 Yes E] No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e., no <br /> M 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 properly? If so,at what percent of tank capacity does the alarm trigger? 90% <br /> 0 Yes* El 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 /> El Yes* 0 No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) <br /> El Product; 0 Water. If yes,describe causes in Section E,below. <br /> 19 Yes -5-No* Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable <br /> Yes No* Is all monitori <br /> -- - M,9 eQuMment cigerational per manufacturer's specifications? <br /> In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: The 87 Octane Tank MLLD was replaced with a like for like VMI 99 LD2000. <br /> The 91 Octanean was rep 16 wit� I �-5 1 <br /> 11:11 1 <br /> sector pe o e w1 Fss teston site. <br /> - <br /> Page 2 of 4 <br /> UN-036-2/4 <br /> www.unidoes.org Rev.01/17/08 <br />