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D. Results of Testing/Servicing <br />Software Version Installed: <br />CornpMe the following checklist: <br />E <br />E <br />No* <br />Is the audible alarm operational? <br />E <br />E <br />No* <br />Is the visual alarm operational? <br />E es <br />E <br />No* <br />Were all sensors visually inspected, functionally tested, and confirmed operational? <br />E es <br />E <br />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 />E Yes <br />E <br />No* <br />If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) operational? <br />E <br />E e <br />E <br />o* <br />For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment monitoring <br />E <br />NIA <br />system <br />s a leak, fails to operat is electrically disconnected? If yes: which sensors initiate positive shut -down? (Check all that apply) <br />umplTrench Sensors; E ispenser Containment Sensors. Did you confirm positive shut -down due to leaks and sensor <br />E Yes <br />E <br />No* <br />For tank systems that utilize the monitoring system as the primary tank overfill waning device (i.e. no mechanical overfill prevention <br />E <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 alarm trigger? % <br />E Yes* <br />E <br />o. <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 />E Yes* <br />E <br />Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) E Product; E Water. If <br />yes, describe causes in Section E, below. <br />E (Yeae <br />E <br />No* <br />Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if applicable <br />E e <br />E <br />No' <br />Is all monitoring equipment operational per manufacturer's specifications? <br />* In Section E below, describe how and when these deficiencies were or will be corrected. <br />E. Cornrnents: <br />Monitoring System Certification Page 2 of 4 12/07 <br />7/71 /177 <br />