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Monitoring Sya[am Certification <br /> Site Address: Date of Testing/Servicing: <br /> D. Results of Testing/Servicing <br /> Software Version Installed: <br /> Complete the following checklist: <br /> es ❑ No* Is the audible alarm operational? <br /> CT'yes ❑ NO Is the visual alarmoperational? <br /> p <br /> cr Y ❑ No' Were all sensors visual functional) tested,and confirmed rational? <br /> Ves ❑ No* 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 ❑ �io' If alarms are relayed to a remote monitoring station, is all commumcations equipmem (e.g. modem) <br /> []'NIA operational? <br /> - es ❑ No* For pressurized piping systems, does the turbine automatically <br /> [I N/A monitoring slut down if the piping secondary coNainment <br /> system detects a leak, fails to operate, or is electrically disconnected? jf'yes: which sensors <br /> initiate positive shut-down? (Check all that apply) la'"drench Sensors; ❑'Dispenser Containment <br /> Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failureldisconnection? des; ❑No. <br /> CyVes ❑ No" For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br /> ❑ N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> fill int s and operating property? if so, at what Percent of tank capacity does the alarm tri 77??8/6 9 r <br /> ❑ Yes No Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment <br /> I telllaced and list the manufacturer name and model for all replacement parts in Section E,below. <br /> ❑ Yes No 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 /> Yes ❑ No* Was monitoring stem set-up reviewed to ensure proper settings? <br /> p'Yes ❑ NG* is all monitoring tri ment operational 22r mantffacturer's cations? <br /> • In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: <br />