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RECENED <br /> D. Results of Testing/Servicing <br /> 0 C T 13 2016 <br /> Software Version Installed: 121.00 <br /> Complete the followinchecklist: _ LTH <br /> Z Yes ❑ No' Is the audible alarm operational? <br /> ® Yes ❑ No* Is the visual alarm operational? <br /> ULPAR I MEN 1- <br /> 0 Yes ❑ No` Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> ® Yes ❑ No* 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 ❑ No* If alarms are relayed to a remote monitoring station,is all communications equipment(e,g.,modem)operational? <br /> NIA <br /> * Yes ❑ No* For pressurized piping systems,does the turbine automatically shut down if the piping secondary containment monitoring system detects a leak, <br /> ❑ NIA fails to operate, or is electrically disconnected? If yes:which sensors initiate positive shut-down? (Check all that apply) ® Sump/Trench <br /> Sensors; ❑Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor fail ureldisccnnection? Z Yes; ❑No. <br /> ❑ Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e., no mechanical overfill prevention valve is <br /> NIA installed),is the overfill warning alarm visible and audible at the tank fill point(s)and operating properly? If so,at what percent of tank capacity <br /> does the alarm trigger? % <br /> ❑ Yes ® No Was any monitoring equipment replaced? If yes,identify specific sensors,probes,or other equipment replaced and list the manufacturer name <br /> 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 /> 0 Yes ❑ No" Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable <br /> ® Yes ❑ No` 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: <br /> Monitoring System Certification Page 2 of 4 2121107 <br />