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D.ResuRf of TeStIng15ervldn9 <br /> Software version Installed: 329.01 <br /> Complete the following checklist: <br /> G yes IF No- s the audible alarm operai <br /> r yps IF No' s the visual alarm operational? <br /> ya r No' ere all sensors visually inspected,functionally tested,and Confirmed operational? <br /> Yes f- No, ere all sensors installed a[lowest point of secondary oOflfainmeM and poslhoned so that othef equipment will• not Interfere <br /> heir ro r o raTlon7 <br /> • yes r No' f alarms are relayed m a remote monitoring station,is all communications equipment(e.g.modern)operational? <br /> r N/A <br /> IF <br /> No pressurized p Dl^9 sYs[ems,does O e IurWne au omat Cally shut down H Me pips^9 secondary con ainment monito n9 <br /> f' Yes detects a leak fails to operate,or is elecMcally disconnected?If yes:which.......nitiate pos five shut-0ovm?(Check <br /> r stern <br /> N/A a.tha[appty)F sump/Trench Sensors; F Dispenser Containment sensors. <br /> id you confirn positive shut-down due to leaks and sensor failure/disconnection?r Yes; r No <br /> Yes r No, or tank systems that utilize the rtwnitonng system as the primary tank overfill warning device(i.e.no mechankal overfill <br /> tlonl valve Is installed),Is the oveAlll warning didml visible and audible at the tank fill point(s)aM operating properly?If <br /> r N/A at what percent of tank w d does the alarm tri eft 90% or other equipment replaced and Ilst the <br /> • Yes' �' No as any monitoring equipment:replaced?If yes,identify spedflc sensors,probes, <br /> anufacb mr name and model for all re acement orts in Section E below. <br /> R Yes' r No as liquid found inside any secondary containment systems designed as dry systems?(Check all that apply) <br /> V Product' F Water.If dewibe causes In Section E below. <br /> IT Yes r No' as monitoring system set-up reviewed to ensure proper settings?Attb&set up reports,if applicable <br /> • Yes r No* Es all monitoring equipment operational per manufacturers specifications? <br /> •In Section E below,describe now and when these defKlentles were or will be cortected. <br /> E.Comments: <br /> replaced battery on the veeder root <br /> removed 1 cup of liquid from the diesel stD sump <br /> Monitoring system Cer[ifiwdon <br /> Page 2 of 3 12/07 <br />