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0 <br />Monitoring System Certification <br />Site Address: <br />D. Results of Testing/Servicing <br />Software Version Installed: <br />Complete the foil ine checklist: <br />Date of Testing/Servicing: <br />Yes <br />❑ No* <br />Is the audible alarmoperational? <br />es <br />❑ No* <br />is the visual alarm operational? <br />01 -Yes <br />❑ No* <br />Were all sensors visually inspecwA fractionally tested, and confirmed rational? <br />(ErYes <br />❑ No* <br />Were all sensors installed at lowest point of secondary containment and positioned so that other equipment <br />will not interfere with their proper operation? <br />❑ Yes <br />❑ No* <br />If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br />8'N/A <br />operational? <br />C?Yes <br />❑ No* <br />For pressurized piping systems, does the turbine automatically shut down if the piping secondary c outarnment <br />❑ N/A <br />monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors <br />initiate positive shut -down? (Check all that apply) U-Sump/Trench Sensors; B"Dispenser Containment <br />Sensors. <br />Did you confirm positive shutdown due to leaks and sensor failure/disconnection? e'Yes, ❑ No. <br />lEYes <br />❑ No* <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br />❑ N/A <br />mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br />U int(s) and operating rl If so, at what percent of tank capacity does the alarm tri erl '""% <br />❑ Yes* <br />2 -No <br />Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment <br />replaced and list the manufacturer name and model for all replacement parts in Section E, below. <br />❑ Yes* <br />WNo <br />Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) <br />❑ Product, ❑ Water. If yes. describe causes in Section E, below. <br />T -Yes <br />❑ No* <br />Was mom set -u reviewed to ensure proper settings? <br />9$es <br />❑ No* <br />[s all monitorin a ui ment rational per manufacturer's . canons? <br />* In Section E below, describe how and when these deficiencies were or will be corrected <br />E. Comments: <br />