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9PS5517888 Line 1 <br />i GETTIER-RYAN INc. <br />D. Results of Testing/Servicing <br />Software Version Installed: 332.00 <br />Comolete the foilowina checklist - <br />0 :18:58 08-20-2012 <br />❑ Yes <br />❑ o <br />Is the audible alarm operationlT <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 />[3 No` <br />Were all sensors installed at lowest point of secondary containment and positioned so that other equipmentwill not interfere with their <br />proper operation? <br />[j Yes <br />i <br />0 No* <br />If alarms are relayed to a remote monitoring station, is all communication equipment (e.g. modem) operational? <br />NIA <br />❑ Yes <br />❑ No" <br />For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment monitoring system <br />❑ NIA <br />detects a reek, falls to operate, or is electrically disconnected? V yes: which sensors initiate positive shut -down? (Check a# that apply) <br />❑ Sump/Trench Sensor, ❑ Dispenser Containment Sensor. Did you confirm positive shut -down due to leaks and sensor <br />fallure/disconnection? ❑ Yes; C3 No. <br />13 Yes <br />® o' <br />For tank systems that utilize the monitoring system as the primary tank overfill warning 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 alar trigger? % <br />❑ Yes <br />❑ No <br />Was any monitoring equipment replaced? If yes, Identify specific sensors, probes, or other equipment replaced and list the <br />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 au that apply) ❑Product; ❑ Water. If <br />yes, describe causes in Section E, below. <br />❑ es <br />❑ No" <br />Was monitoring system set-up reviewed to insure proper settings? Attach set-up reports, if applicable. <br />❑ Yes <br />❑ No" <br />I Is all monitoring equipment operational per manufacture's specifications? <br />•mm wvuvmm r u�mv , arvm mr® •,vn Ym,Y ee4i6,• Y4Yma Ycet4tc,444ca fac4c VI ve,ll YO 44/1164404. <br />E. Comments; <br />"Only PLLD's were tested" <br />Monitoring System Certification Page 2 of 4 12/07 <br />2 <br />