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'*AOf RECEIVED JAN 0 2 2015 D. Results of Testing/Servicing (ENVIRONMENTAL HFAT,nj nFo41aTAAFR!T Software Version Installed VR 1.01 Complete the following checklist: X Yes ❑ No' Is the audible alarm operational? X Yes ❑ No' Is the visual alar operational? X Yes ❑ No' Were all sensors visually inspected,functionally tested,and confirmed operational? X Yes ❑ No' Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? ❑ Yes ❑ No' If alarms are relayed to a remote monitoring station,is all communications equipment(e.g.modem)operational? X WA X Yes ❑ No' For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment monitoring system ❑ WA detects a leak,fails to operate,or is electrically disconnected? If yes:which sensors initiate positive shut-down? (Check all that apply) X Sumplimnch Sensors; X Dispenser Containment Sensors. Did you confirm positive shut-down due to leaks and sensor failureldisconnection? XYes; ❑No. X Yes ❑ No' For lank systems that utilize the monitoring system as the primary tank overfill warning device(i.e. no mechanical overfill prevention WA valve is 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 does the alarm trigger? 95 % ❑ Yes` X No Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name and model for all replacement parts in Section E,below. ❑ Yes' X No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply)❑Product; ❑Water. If es,describe causes in Section E,below. X Yes ❑ No` Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable X Yes ❑ No` Is all monitoring equipment operational per manufacturers specifications? 'In Section E below,describe how and when these deficiencies were or will be corrected. E. Comments: L 2 DISP 1-2 ANNULAR[MODLE VR 304 X PASS sensor was in fuel alarm upon arrival sensor was replaced and retested L4 DISP 34 ANNULAR[MODLE VR 304 X PASS L 6 DISP 5-6 ANNULAR[MODLE VR 304 X PASS L 8 DISP 7-8 ANNULAR[MODLE VR 304 X PASS L 10 DISP 9-10 ANNULAR[MODLE VR 304 X PASS L 12 DISP 11-12 ANNULAR[MODLE VR 304 X PASS L 13 VENT DOX[MODLE VR 208 X PASS L 14 VENT BOX ANNULAR[MODLE VR 304 X PASS L 16 87 STP SUMPANNULAR[MODEL VR 304 X PASS L 18 87 FILL SUMP ANNULAR[MODLE VR 304 X PASS L 20 91 STP SUMP ANNULAR[MODLE VR 304 X PASS L 22 91 FILL SUMP ANNULAR[MODLE VR 304 X PASS L 24 DIESEL STP SUMP ANNULAR[MODLE VR 304 X PASS L 26 DIESEL FILL SUMP ANNULAR[MODLE VR 304 X PASS Monitoring System Certification Page 2 of 4 12107 2 2/21/07