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A Results of Testing/Servicing <br />Software Version Installed: 332.001-I�'AITw n�D4 TaA�RIT ' l <br />Complete the following checklict- <br />® Yes <br />❑ No* <br />Is the audible alarm operational? <br />® Yes <br />❑ No* <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 et.uipment will <br />not interfere with their proper operation? <br />❑ Yes <br />❑ No* <br />If alarms are relayed to a remote monitoring station, is all communications equipment (+ .g., modem) <br />® N/A <br />operational? <br />® Yes <br />❑ No* <br />For pressurized piping systems, does the turbine automatically shut down if the piping secondarw containment <br />❑ N/A <br />monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which st nsors initiate <br />positive shut -down? (Check all that apply) ®Sump/Trench Sensors, ® Dispenser Containment ` ensors. <br />Did you confirm positive shut -down due to leaks and sensor failure/disconnection? ® Yes; ❑ Nc . <br />❑ Yes <br />❑ No* <br />For tank systems that utilize the monitoring system as the primary tank overfill warning deice (i.e., no <br />® N/A <br />mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audib a at the tank <br />till point(s) and operating properly? If so, at what percent of tank capacity does the alarm trigger? 90 % <br />El Yes* <br />® No <br />Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equips; tent replaced <br />and list the manufacturer name and model for all replacement parts in Section E, below. <br />❑ Yes* <br />® No <br />Was liquid found inside any secondary containment systems designed as dry systems? (Check all hat app4v) <br />❑ Product; ❑ Water. If yes, describe causes in Section E, below. <br />® Yes <br />❑ No* <br />Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if applica )le <br />® Yes <br />❑ No* <br />Is all monitoring equipment operational per manufacturer's specifications? <br />*In Section <br />F. hPlnw <br />rlwcrrihn h-.., <br />—, UHU ♦rucu tucsc Ufmciencles were or will be corrected. <br />E. Comments: <br />Monitoring Certification Test Report <br />2 of 5 <br />