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•nitoring System Certification • <br /> Site Address: 470 N MAIN ST Date of Testing/service: 12/19/2001 <br /> D. Results of Testing/Servicing <br /> Software version Installed: <br /> complete the following checklist: <br /> MEErn <br /> s the audible alarm operational?Is thevisual alarm operational?ere all sensors visually inspected,functionally tested,and confirmd operetioere all sensors installed at lowest point of secondary containment and positioned so that other equipment will not <br /> interfere with their proper operetionIf 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* ❑N/A monitoring system detects a leak,fails to oppe�rate,or is electrically disconnected?If yes:which sensors inflate positive <br /> shut-down?(check all that apply) LXf Sump/Trench Sensors; ❑ Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and5ensor failure/disconnection? ❑x Yes Lj No <br /> * ❑ For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e.:no mechanical <br /> © Yes ❑No N/A <br /> overfill prevention valve is installed),is the overfill warning alarm visible and audible at the tank fill poinis(s)and operating <br /> property? If so,at what percent of tank capacity does the alarm trigger? 90 OA <br /> ❑ Yes* ©No Was any monitoring equipment replaced?If yes,identify specific sensors,probes,or other equipment replaced and list the <br /> manufacturer name and model for all replacement arts in Section E,below. <br /> Was liquid found inside any secondary containment systems designed as dry systems?(check all that apply) <br /> El Yes* ©No ❑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 />