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D. Results of Testing/Servicing <br />jc� •d <br />Software Version Installed: 'T /, J J <br />Complete the foliowinn <br />Yes <br />❑ No' <br />Is the audible alarm operational? <br />❑ No' <br />Is the visual alarm operational? <br />5�Yes <br />Yes <br />❑ No' <br />Were all sensors visually inspected, functionally tested, and confirmed operational? <br />Yes <br />❑ No' <br />Were all sensors Installed at lowest point of secondary containment and positioned so that other equipment will not interfere their <br />Proper operation? with <br />❑ Yes <br />❑ No' <br />NIA <br />If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. motlem) operational? <br />❑ Yes <br />❑ No' <br />N/A <br />For pressurized piping systems, does the turbine automatically shut down N the piping secondary containment monitoring system <br />detects a leak, fails to operate, or is electrically disconnected? If which sensors initiate <br />yes: positive shut -down? (Check all that apply) <br />❑ Sump/Trench Sensors; ❑ Dispenser Containment Sensors. Did you confirm positive shut -down due to leaks d sensor <br />failure/disconnection? 1) Yes; ❑ No. g <br />❑ Yes <br />❑ No' <br />67 N/A <br />For tank systems that utilize, the monitoring system as the primary tank overfill warning device (i.e. no mechanical overfill prevention <br />valve is installed), Is the overfill warning alarm visible and audible at the tank fill point(s) and operating properly? If so, at what percent <br />of tank capacity does the alarm trigger? <br />L' Yes' <br />No <br />Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the <br />Mufacturer name and model for all replacement arts in Section E, below. <br />Yes' <br />No <br />Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) ❑ Product; ❑ Water. If <br />es, describe causes in Section E, below. <br />s <br />❑ No' <br />Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if applicable <br />Yes I <br />❑ No' <br />Is all monitoring equipment operational per manufacturer's specifications? <br />mc IGW anu rn IV uwx uCncltl nc i es were or wni oe correcrea. <br />E. Comments: <br />Monitoring System Certification Page 2 of 4 12/07 <br />2 2/21/07 <br />