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®GETTLER-RYAN INC. RECEIVEDIR Job# 1820_ 1786 <br /> D. Results of Testing/Servicing JUL 13 2018 SWRCB,January 2006 <br /> Software version Installed: 329 . 0 1 ENVIRONMENTAL <br /> Complete the following checklist HEALTH DEPARTMENT <br /> ® es ❑ NO, Is the audible alarm operational? <br /> m 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 will not interfere with their <br /> proper o ration? <br /> Yes No' If alarms are relayed to a remote monitoring station,is all communication equipment(e.g.modem)operational? <br /> ❑ N/A <br /> 0 Yes ❑ No' For pressurized piping systems,does the turbine automatically shut down if the piping secondary containment monitoring system <br /> ❑ WA detects a leak,fails to operate,or is electrically disconnected?If yes:which sensors initiate positive shut-down?(Check all that apply) <br /> El Sump/Trench Sensor; 0 Dispenser Containment Sensor.Did you confirm positive shut-down due to leaks and sensor <br /> failure/disconnection? FA Yes, ❑ No. <br /> 0 Yes ❑ No' For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e.no mechanical overfill prevention <br /> ❑ N/A valve is installed),is the overfill warning alar visible and audible at the tank fill points)and operating property?If so,at what percent <br /> of tank capacity does the alar trigged 95 <br /> ❑ Yes ❑ No Was any monitoring equipment replaced?If yes,identify speck sensors,probes,or other equipment replaced and list the <br /> 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) []product; []Water If <br /> yes,describe causes in Section E,below. <br /> ❑ Yes ❑ No' Was monitoring system set-up reviewed to insure proper settings?Attach set-up reports,if applicable. <br /> Yes ❑ No; I Is all monitoring equipment operational per manufacture's specifications? <br /> In section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: <br /> Monitoring System Certification Page 2 of 4 12107 <br />