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Monitoring System Certification • <br /> Site Address: 470 N MAIN ST Date of Testing/Service: 12/27/2001 <br /> D. Results of Testing/Servicing <br /> Software Version Installed: <br /> complete the following checklist: <br /> V[!] Yes <br /> []No' Is the audible alarm operational? <br /> ❑No' Is the visual alarm operational? <br /> ❑No' Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not <br /> ® Yes ❑No' interfere with their proper operation? <br /> ❑ Yes ❑No' N/A If alarms are relayed to a remote monitoring station, is all communications equipment(e.g.modem)operational? <br /> For pressurized piping systems,does the turbine automatically shut down if the piping secondary containment <br /> ® yes ❑No• ❑NIA monitoring system detects a leak,fails to operate,or is electrically disconnected?If yes:which sensors initiate positive <br /> shut-down?(check all that apply) ® Sump(rrench Sensors; ❑ Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? ® Yes ❑ No <br /> No• N/A For tank systems that utilize the monitoring system as the mary tank Over"" 'r prining device(i.e..no mechanical <br /> ® Yes <br /> ❑ ❑ overfill prevention valve is installed),is the overfill warning alarm visible and audible at the tank fill points(s)and operating <br /> properly? If so,at what percent of tank capacity does the alarm trigger? 90 % <br /> ❑ Yes• ®No Was any monitoring equipment replaced?If yes,identity specific sensors,probes,or other equipment replaced and list the <br /> manufacturer name and model for all replacement parts in Section E,below. <br /> ❑ Yes' ®No <br /> Was liquid found inside any secondary containment systems designed as dry systems?(check all that apply) Product; <br /> Water. If yes,describe causes in Section E,below. <br /> ® 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 deficiences were or will be corrected. <br /> E. Comments: <br /> page 2 of 3 <br />