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t <br /> Monitoring System Certification <br /> Site Address: 1812 COLEY AVENUE,ESCALON Date of Testing/Servicing: 8/16/01 <br /> A Results of Testing/Servicing <br /> Software Version Installed: 118.0 <br /> Complete the folio win checklist: <br /> ® Yes ❑ No* Is the audible alarm operational? <br /> ® Yes ❑ No* Is the visual alarm operational? <br /> ® Yes ❑ No* Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> ® Yes ❑ No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment <br /> will not interfere with their pr2per operation? <br /> ® Yes ❑ No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> ❑ N/A operational? <br /> ❑ Yes ❑ No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br /> ® N/A monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors <br /> initiate positive shut-down? (Check all that apply) ❑ Sump/Trench Sensors; ❑ Dispenser Containment <br /> Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failureldisconnection? ❑Yes; ❑No. <br /> ® Yes p No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br /> ❑ 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 roperly9 If so,at what percent of tank capacity does the alarm trigger? ????% <br /> ❑ Yes* ® No Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment <br /> replaced and list the manufacturer name and model for all replacement parts in Section E,below. <br /> ❑ Yes* ® No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) <br /> ❑ Product; ❑ Water. If yes,describe causes in Section E,below. <br /> Yes ❑ No* Was monitorin system set-up reviewed to ensure proper settings? <br /> ® Yes ❑ No* Is all monitoring equipment one ' ecifications? <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 />