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0 <br />D. Results of Testing/Servicing <br />Software Version Installed: <br />Complete the following checklist: <br />0 <br />S Yes <br />❑ No' <br />Is the audible alar operational? <br />S Yes <br />❑ No' <br />Is the visual alarm operational? <br />S Yes <br />❑ No' <br />Were all sensors visually inspected, functionally tested, and confirmed operational? <br />S Yes <br />❑ No' <br />Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper <br />operation? <br />❑ Yes <br />❑ No' <br />If alarms are relayed to a remote monitoring station, is all communications equipment (e.g., modem) operational? <br />S N/A <br />S Yes <br />❑ No' <br />For pressurized piping systems, does the turbine automatically shut down it the piping secondary containment monitoring system detects a leak, <br />❑ NIA <br />fails to operate, oris electrically disconnected? If yes: which sensors initiate positive shut -down? (Check all that apply) SSumptTrench Sensors; <br />❑ Dispenser Containment Sensors. <br />Did you confirm positive shut -down due to leaks and sensor failure/disconnection? S Yes; []No. <br />❑ Yes <br />❑ No' <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e., no mechanical overfill prevention valve is <br />S NIA <br />installed), is the overfill warning alar visible and audible at the tank fill point(s) and operating properly? If so, at what percent of tank rapacity <br />does the alar triggeR % <br />❑ Yes <br />S No <br />Was any monitoring equipment replaced? If yes, identify spec sensors, probes, or other equipment replaced and list the manufacturer name <br />and model for all replacement parts in Section E, below. <br />❑Yes' <br />S No <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 />S Yes <br />❑ No' <br />Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if applicable <br />S Yes I <br />❑ No' <br />Is all monitoring equipment operational per manufacturers specifications? <br />In Section E below, describe how and when these deficiencies were or will be corrected. <br />E. comments: MEASURED BOTH ANNULARS AND CALCULATED CORRECT POSITION <br />HEALTH <br />Monitoring System Certification Page 2 of 4 2/21/07 <br />