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l torl�g System Certification <br /> Site Address: Bate of Testing/Servicing: <br /> A Results of Testing/Servicing <br /> Software Version Installed: z P J <br /> Complete the foil owin checklist: <br /> Ec <br /> ❑ No* Is the audible alarm tional? <br /> ❑ No* Is the visual alarm operational? <br /> C3 No* Were all sensors visuallyfienctionall tested,and c d anal? <br /> p*`Yes ❑ No* Were all sensors installed at lowest point of secondaiv containment and positioned so that other equipment <br /> will not intedfiwe with their r ration? <br /> ❑ Yes ❑ No* If alams are relayed to a mote monitoring station, is all equipment (e.g ) <br /> /A onal? <br /> V'` es ❑ No* For premnzed piping systems,does the turbine automatically shut dowse if the piping secondary contamment <br /> ❑ N/A monitoring' systcm detects a leak, fails to opexate, or is elecMcaffy disco yes: which sensors <br /> initiate positive shut-down? (Check all that apply) ®'Sump/Trench Sensors; FKDispcnser Containment <br /> Did you confirm positive sheet-down due to leaks amt sensor failurel ' tm? QrYes; ❑No. <br /> ❑ Yes ❑ No* For tarok sgstcros that utilize the monitoring system as the primary tank overfill warning device (ie. no <br /> R�N/A mechanical.overfiM prevention valve is " ed),is the overfll warning alarm visible and audlNe at the tank <br /> MI int(s)and opmainig pTR5dj'7 If so.at what pm=nt of tank capacity does the alarm tri :n?'?% <br /> ❑ Yes* li 'No Was any monitoring equipment replaced? If yes, identify specffic sensors., probes, or other equipment <br /> replaced and list the manaCwturer name and model for ail replacement in Seam Ir, <br /> UrYes* ❑ No Was liquid found"inside any secondary containment systems designed as dry r <br /> f stexas? (Check all that apply) <br /> grfroduct ❑ Water_ If a:s,describe causes in Section,E,below. <br /> [PCs <br /> ❑ No# Was moult sett- reviewed to enure ? <br /> ❑ No* Is all mo ' onal 2E inrer's cations? <br /> In Section Z below,describe how and when these derkiencies were or will be co d. <br />