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9255517888 Line 1 <br />91 GETTLER-RYAN INC. <br />D, Results of Testing/Servicing <br />Software Version Installed: 332.00 <br />Comnlete the fnllawina checklist <br />09:55:33 01-02-2014 3/10 <br />40 GR Job # 20-592715 <br />RECEIVE[ <br />13 es <br />❑ o <br />is the audible alarm operational?MVIRDIT IM <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 />j] 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 />j] Yes <br />❑ 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 leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut -down? (Check a# that apply) <br />❑ Sumprfrench Sensor; ❑ Dispenser Containment Sensor. Did you confirm positive shut -down due to leaks and sensor <br />failurefdisconnection? ❑ Yes; ❑ No. <br />❑ Yes <br />❑ No` <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no mechanical overfill prevention <br />❑ NIA <br />valve is installed), is the overfill warning alarm visible and audible at the tank fill point(s) and operating property? If so, at what percent <br />of tank capacity does the alarm trigger? °h <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 all that apply) ❑Product; []Water, if <br />yes, describe causes in Section E, below. <br />❑ Yes <br />❑ No* <br />Was monitoring system set-up reviewed to insure proper settings? Attach set-up reports, if applicable. <br />❑ Yes 1 <br />❑ No* I <br />Is all monitoring equipment operational per manufacture's specificatlons? <br />E. Comments: <br />Only Tested STP Sump sensors. Only STP Sensors when Changed out. <br />Monitoring System Certification Page 2 of 4 12107 <br />2 <br />L <br />