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Monitming System Certification <br /> D. Results of Testing/Servicing <br /> Software Version Installed: <br /> Complete the following 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 secondaii containment and positioned so that other equipment <br /> will not interfere with their proper 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 s.stems. does the turbine automatically shut down if the piping secondary containment <br /> ■ N/A monitoring system detects a leak_ fails to operate. or is electricall- discoeviected" If yes: which sensors iniOate <br /> positive shut-doNNn'? (Check all that apl,lv) ❑ SumplTrench Sensors: ❑Dispenser Containment Sensors_ <br /> Did you continn positive shut-down due to leaks and sensor failure/disconnection? ❑ Yes: ❑No. <br /> i Yes ❑ No* For tank systems that utilize the monitoring s�'stera as the primau7 tank overfill warning device (i.e. no <br /> ❑ NIA mechanical overfill prevention valve is installed). is the overfill warning alarm visible and audible at. the tank- <br /> fill point(s) and operating properly? If so, at what percent of tank capacity. does the alai-in trigger:' <br /> oa <br /> Yes* ■ No Was any monitoring equipment replaced? If yes, identifj specific sensors. probes, or other equipment <br /> replaced and list the nianuf>cturer naine 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? (Cheek-all I/R71 dj)PP V) <br /> ❑Product: ❑ Water. If yes. describe causes in Section E.below. <br /> ■ Yes Q No* Was monitoring system set-tip reviewed to ensure proper settings?Attach set up re outs_ if applicable <br /> ■ Yes ❑ No* Is all monitoring equipment oerational er manuractureCs specifications" <br /> * In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: All Ftuictions normal <br /> Page 2 of 3 us n m <br />