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monitoring System Certification 0 <br />0 <br />Site Address: CI-Af(e Y t-1 S / Date of Testing/Servicing: <br />D. Results of Testing/Servicing <br />Software Version Installed: <br />Comd'icte the following checklist: <br />In Section E below, describe how and when these deficiencies were or will be corrected. <br />E. Comments: a` jOrmatitcf - f/t/ L7t ¢ l,L2trtr)de av( f p Z <br />Is the audible alarm operational? <br />iyk)�es <br />Is the visual alarm o 'oral? <br />Were all sensors visual inspected, functionallytested, and confirmed 'onar? <br />Yes <br />qNNo* <br />Were all sensors installed at lowest point of secondary containment and positioned so that other equipment <br />will not interfere with their on? <br />❑ Yes <br />If alarms are relayed to a remote monitoring station, is all communication equipment (e.g. modem) <br />operational? <br />Yes <br />❑ No* <br />For pressurized piping systems, does the tutfiine automatically shut down if the piping secondary containment <br />C]N/A <br />monitoring system detects a leak, fails to operate, or is ectrically disconnected? If yes: which sensors <br />initiate positive shut -down? (Check all that apply) umpiTrench Sensors; ❑ Dispenser Containment <br />Sensors. <br />Did you confirm positive shut -down due to leaks and sensor failure/disconnection? es; ❑ No. <br />Yes <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 />MI 'nt(s) and operating propedy9 If so, at what percent of tank capacity does the alarm trigger? 7777%gd'' <br />❑ Yes* <br />No <br />Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment <br />laced and list the manufacturer name and model for all replacement parts 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) <br />❑ Product; ❑ Water. ff describe causes in Section E, below. <br />es <br />❑ No* <br />Was monitoring stem set-up reviewed to ensure proper settings? <br />Yes <br />❑ No* <br />Is all monitoring equipment operational per manufacturer's 'Stations? <br />In Section E below, describe how and when these deficiencies were or will be corrected. <br />E. Comments: a` jOrmatitcf - f/t/ L7t ¢ l,L2trtr)de av( f p Z <br />