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GMonitoring System Certification-Page 2 of 3 � <br /> JUL63y�9015 <br /> Site Address: 1409 S Airport Way Date of Testing/Servicing: <br /> dryiin�gg ^^'' A <br /> r7N 1 IRONlylElV�P'6'. <br /> D. Results of Testing/Servicing ".^" <br /> Software Version Installed. 327.04 <br /> Com let e the foliowin checklist: <br /> 0 Yes 0 No* Is the audible alarm operational? <br /> ® Yes 0 No* Is the visual alarm operational? <br /> m Yes 0 No* Were all sensors visually inspected,functionally tested,and confirmed o erational? <br /> ® Yes 0 No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will <br /> not interfere with their proper operation? <br /> 0 Yes 0 No* If alarms are relayed to a remote monitoring station,is all communications equipment(e.g.modem) <br /> ® N/A operational? <br /> tB Yes 0 No* For pressurized piping systems,does the turbine automatically shut down if the piping secondary containment <br /> 0 N/A monitoring system detects a leak,fails to operate,or is electrically disconnected? If yes:which sensors initiate <br /> positive shut-down? (Check all that apply) ® Sump/Trench Sensors; ® Dispenser Containment Sensors. <br /> Did you confirm ositive shut-down due to leaks and sensor failure/disconnection? ® Yes ❑ No <br /> 0 Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e.no <br /> 0 N/A mechanical overfill prevention valve is installed),is the overfill warning alarm visible and audible at the tank <br /> Pas <br /> oint(s)and operating pro erly? If so,at what percent of tank capacity does the alarm trigger? 0 % <br /> 0 Yes* ® No Was any monitoring equipment replaced?If yes,identify specific sensors,probes,or other equipment replaced <br /> and list the manufacturer name and model for all replacement parts in Section E,below. <br /> 0 Yes* ® No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) <br /> 0 Product;0 Water. If yes,describe causes in Section E,below. <br /> ® Yes 0 No* Was monitoringsystem set-u2 reviewed to ensure roer settings'! Attach set-u re orts, i a licable.) <br /> ® Yes 0 No* I Is all monitoring equipment operational per manufacturer's specifications? <br /> *In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: Replaced TLS Battery for PM purposes. <br /> Annular sensor is shared by Regular& Premium tank. <br />