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D. Results of Testing/Servicing Software Version Installed : 325.01 Complete the followingchecklist: ® Yes ❑ No* Is the audible alarm operational? ® Yes ❑ No* Is the visual alarm operational? ® Yes ❑ No* Were all sensors visually inspected, functionally tested, and confirmed operational? ® Yes ❑ No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation ? ❑ Yes ❑ No* If alarms are relayed to a remote monitoring station , is all communications equipment (e.g. , modem) operational ? ® N/A ® Yes ❑ No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment monitoring system detects a leak, ❑ N/A fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut-down? (Check all that apply) ® Sumpfrrench Sensors; ❑ Dispenser Containment Sensors. Did you confirm positive shut-down due to leaks and sensor failure/disconnection? ® Yes ; ❑ No. ❑ Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (Le. , no mechanical overfill prevention valve is ® N/A installed), is the overfill warning alarm visible and audible at the tank fill point(s) and operating properly? If so, at what percent of tank capacity does the alarm trigger? % ❑ Yes ® No Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name and model for all replacement parts in Section E , below. ® Yes* ❑ No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) ® Product; ElWater. If yes, describe causes in Section E, below. ❑ Yes ® No* Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if applicable ❑ Yes ® No* Is all monitoring equipment operational per manufacturers specifications? * In Section E below, describe how and when these deficiencies were or will be corrected . E. Comments: Monitoring System Certification Page 2 of 4 2/21 /07