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RECEIVED <br />D. Results of Testing/Servicing SEP 2014 <br />Software version Installed: 16.05 LTH <br />N,u. IM- Nus inllex*einw nlunw4liet• ENVIRONMENTAL <br />w Yes <br />No* <br />Is the audible alar operational? <br />11 YesNo* <br />is the visual alarm operational? <br />* Yes <br />No` <br />Were all sensors visually inspected, functionally tested, and confirmed operational? <br />* Yes <br />No* <br />Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their <br />proper operation? <br />W Yes <br />No* <br />If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) operational? <br />N/A <br />Yes <br />No* <br />For pressurized piping systems, does the turbine automatically stet down if the piping secondary containment monitoring system <br />ii WA <br />detects a leek, fails to operate, or is electrically d nnected? If yes: which sensors Initiate positive shut -down? (Check ad that apply) <br />® SumptTrench Sensors; Q Dispenser Containment Sensors. Did you corm positive shut -down due to leaks and sensor <br />fature/discormection? Yes; 13 No. <br />x Yes <br />No* <br />Far tank systems that utilize the monitoring system as the primary tarn overfill waming device (i.e. no mechanical overfill prevention <br />N/A <br />valve is installed), is the overfill warning alarm visible and audible at the tank fill point(s) and operating properly? If so, at what percent <br />of tank capacity does the alarm trigger? 90% <br />'i Yes* <br />a No <br />Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or cher equipment replaced and list the <br />manufacturer name and model for all replacement parts in Section E, below. <br />® Yes* <br />ai No <br />Was liquid found inside any secondary containment systems designed as dry systems? (Check alt that apply) p Product; Cl Water. if <br />s describe causes in Sion E below. <br />lH Yes <br />No` <br />I Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, I applicable <br />tt Yes <br />I Jj No` <br />I 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: <br />Monitoring System Certification Page 2 of 4 12/07 <br />2 <br />2/21/07 <br />