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D.Results of Testing/Servicing RECEIVED Software Version Installed: 327.04 DEC p 5 2014 Complete the following checklist: • Yes No* Is the audible alarm operational? 13 TA • Yes No* Is the visual alarm operational? T • Yes No* Were all sensors visually inspected,functionally tested,and confirmed operational? + Yes r No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with heir proper operation? • Yes r 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,fails to operate,or is electrically disconnected?If yes:which sensors initiate positive shut-down?(Check • N/A all that apply)r Sump/Trench Sensors; r Dispenser Containment Sensors. Did you confirm positive shut-down due to leaks and sensor failure/disconnection?r Yes; r No • Yes r No* For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e.no mechanical overfill prevention valve is installed),is the overfill warning alarm visible and audible at the tank fill point(s)and operating properly?If • N/A 3o,at what percent of tank capacity does the alarm trigger? • Yes* • No Nas 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 Las liquid found inside any secondary containment systems designed as dry systems?(Check all that apply) Product; r Water.If yes,describe causes in Section E below. • Yes No* as monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable • Yes No* Ils all monitoring equipment operational per manufacturer's specifications? *In Section E below,describe how and when these deficiencies were or will be corrected. E.Comments: Monitoring System Certification Page 2 of 3 12/07