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0 <br />Monitoring System Certification <br />C] <br />D. Results of Testing/Servicing <br />Software Version Installed: <br />Cr%mnl 4A the fallawine checklist: <br />Yes <br />Lj No* <br />Is the audible alarmoperational? <br />E/ Yes <br />No* <br />Is the visual alarm oral? <br />Yes <br />No* <br />were an sensors visually ins ted, fuctionally tested, and confirmed operational? <br />Q Yes <br />® No* <br />Were all sensors installed st lee est point of secondary containment and positioned so that other equipment will not interfere <br />with their p operation? <br />Q Yes <br />No* <br />It 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 autornaliically shut down if the piping secondary containment monitoring <br />a N/A <br />system detects a leak, fails to operate, or is electrically disconnected? If yes. which sensors initiate positive shutdown? <br />(Check all theapply) <br />1-1 Sump/Trench sensors; ❑ Dispenser Containment Sensors. <br />Did you confirm positive shut -down due to leaks and sensor f re/disconnecdon? ❑ Yes; ❑ No. <br />Q Yes <br />® No* <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device (Le. no mechanical overfill <br />N/A <br />prevention valves is installed), is the overfill warning Warm visible end audible at the tank fill point(s) and operating property? <br />If so, at what percent of tank capacity does the alarm tri ? --11—% <br />❑ Yes* <br />Q No <br />Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and lust the <br />manufacturer name and model for all replacement parts in Section E, below. <br />❑ Yes* <br />Q No <br />Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) <br />❑ Product; ❑ Water. If Yee, describe in Section E, <br />N* <br />Was monitoring c-ureieed to ensure setins? Attach setup gap <br />❑J Yes <br />No* <br />Is all monitoring equipment oral per manufacturer's specifications? <br />*In Section E below, descirbe how and when these deficiencies were or will be corrected. <br />E. Comments. <br />Page 2 of 4 <br />