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D.Results of Testing/Servicing <br /> Software Version Installed: 17.01 <br /> Complete the following checklist: <br /> f: Yes f No* Is the audible alarm operational? <br /> r Yes Ir No* Is the visual alarm operational? <br /> • Yes C No* Were all sensors visually Inspected,functionally tested,and confirmed operational? <br /> r Yes f No* Were all sensors Installed at lowest point of secondary containment and positioned so that other equipment will not interfere wit <br /> their proper operation? <br /> r Yes C No* If alarms are relayed to a remote monitoring station,is all communications equipment(e.g.modem)operational? <br /> r N/A <br /> G Yes r No* For pressurized piping systems,does the turbine automatically shut down if the piping secondary containment monitoring <br /> !' N/A system detects a leak,fails to operate,or is electrically disconnected?If yes:which sensors Initiate positive shut-down?(Check <br /> all that apply)P Sump/Trench Sensors; r Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection?170 Yes; r No <br /> r Yes r No* For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e.no mechanical overfill <br /> r N/A prevention valve is installed),is the overfill warning alarm visible and audible at the tank fill point(s)and operating properly?If <br /> so at what oencent of tank capacity does the alarm trigger?90% <br /> [rYe'Yes* IT No Was any monitoring equipment replaced?If yes,identify specific sensors,probes,or other equipment replaced and list the <br /> manufacturer name and model for all replacement arts in Section E below. <br /> yes* C• No Was liquid found inside any secondary containment systems designed as dry systems?(Check all that apply) <br /> Product r Water.Tf es, <br /> s describe causes in Section E below. <br /> Yes f"' No* Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable <br /> r No* 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: <br /> Monitoring System Certification Page 2 of 3 12/07 <br />