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Monitoring System Certification - AP2 of 3 <br />n <br />Site Address: 35 N. Cherokee Ln. Date of Testing/Servicing: 1/28/13 <br />D. Results of Testing / Servicing <br />Software Version Installed- 122.00 <br />Complete the following checklist: <br />X Yes <br />❑ No* <br />Is the audible alarm operational? <br />IM Yes <br />❑ No* <br />Is the visual alarm o erational? <br />01 Yes <br />❑ No* <br />Were all sensors visually inspected, functionally tested, and confirmed operational? <br />H 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 o eration? <br />❑ Yes <br />❑ No* <br />If alarms are relayed -to a remote monitoring station, is all communications equipment (e.g. modem) <br />M N/A <br />operational? <br />0 Yes <br />❑ No* <br />For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br />❑ 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) 11 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 <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 properly? If so, at what percent of tank capacity does the alarm tri er? 0 % <br />® 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 Earts in Section E, below. <br />❑ Yes* <br />11 No <br />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 />N Yes <br />❑ No* <br />Was monitoring system set-up reviewed to ensure proper settings? Attach set-up reports, i a licable. <br />a Yes <br />❑ 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: Replaced 87 Product Relay - Re -tested & Passed. <br />2120/13 - Removed moisture from 87 & Diesel Annular. <br />