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Monitoring System Certification - Page 2 of 3 <br />Site Address: 35 N. Cherokee Ln. <br />D. Results of Testing / Servicing <br />Software Version Installed- 122.00 <br />Com lets the followin checklist: <br />v <br />Date of Testing/Servicing: <br />317113 <br />CO Yes <br />❑ No* <br />Is the audible alarm operational? <br />N Yes <br />0 No* <br />Is the visual alarm operational? <br />® Yes <br />0 No* <br />Were all sensors visually inspected, functionalIX tested, and confirmed operational? <br />01 Yes <br />❑ No* <br />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 <br />❑ No* <br />If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br />0 N/A <br />operational? <br />❑ Yes <br />0 No* <br />For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br />IN N/A <br />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? ❑ Yes ❑ No <br />❑Yes <br />❑ No* <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br />® N/A <br />mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br />fillpoint(s) and operating ro erl ? If so, at what percent of tank cmacitK does the alarm tri er? 0 <br />0 Yes* <br />® No <br />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* <br />UP No <br />Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) <br />❑ Product; 0 Water. If yes, describe causes in Section E, below. <br />® Yes <br />0 No* <br />Was monitorinE system set-up reviewed to ensure proper settings? Attach set-up reports, a a licahle. <br />H Yes <br />0 No <br />Is all monitoring equipment operational per manufacturer's specifications? <br />* In Section E below, describe how and when these deficiencies were or will be corrected. <br />E. Comments: Monitor Certification performed with Inspector for Permit Final due to replacement of 87 & 91 <br />Annular Sensors (794390-420). <br />