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Monitoring System Certification <br /> D. Results of Testing/Servicing <br /> Software Version Installed: 127.04 <br /> Complete the following checklist: <br /> 0 Yes Ll No* Is the audible alarm o erational? <br /> 0 Yes U No* Is the visual alarm 2perational? <br /> El Yes U No* Were all sensors visually jLLspected,functionally tested,and confirmed operational? <br /> 0 Yes U No* 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 /> U Yes U No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> 0 N/A operational? <br /> 0 Yes U No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br /> U N/A 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) 91 Sump/Trench Sensors; El Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? El Yes; U No. <br /> IM Yes Ll No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br /> U N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> fill point(s)and operating properly? If so,at what percent of tank capacity does the alarm trigger? 9$% <br /> Ll Yes* 0 No 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 /> Ll Yes* [El No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) U <br /> Product; U Water. If yes,describe causes in Section E,below. <br /> EM Yes U No* Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable <br /> 0 Yes U No* Is all monitoring equipment 2perational per manufacturer's specifications? <br /> *In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: <br /> Page 2 of 3 03/01 <br />