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06/20/2003 09:47 4089710' SSS INC PAGE 03 \ <br /> Page 1 of 3 03101 <br /> Monitoring System Certification <br /> D. Results of Testing/Servicing <br /> Software Version Installed: <br /> Complete the following checklist: <br /> ©Yes ❑ No* Is the audible alarm o erational? <br /> © Yes ❑ No* Is the visual alarm operational? <br /> IM Yes ❑ No* Were all sensors visually inspected.functionally tested,and confirmed operational? <br /> M Yes ❑ No* Were all sensors installedat lowest point of secondary contairuraanr and positioned so that other equipment will <br /> not interfere with their proper operation? <br /> ❑ Yes ❑ No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> Cl N/A operational? <br /> ❑ Yes ❑ No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br /> ❑ N/A monitoring system detects a leak, fails to operato, or is electrically disconnected? It yes: which sensors initiate <br /> positive shut-down'? (Check all that apply) ❑ Sump/french Sensors; ❑Dispenser Containment Season. <br /> Did you confirmpositive shut-down due to leaks and sensor failure/disconnection? ❑Yes; ❑No. <br /> ❑ Yea ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (Le. no <br /> ❑ N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> fill Doint(s)and n .rntirg pr2teely? If so, at what percent of tank capacIty dues the alarm trigger? % <br /> M Yes* ❑ No Was any monitoring equipment replaced? If yes,identify specific sensors,probes,or other equipment replaced <br /> and list the manufacturer name and model for all replacement parts in Section E,below, <br /> ❑ Yes* ❑ Nu 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 mpniteIin s stem set-u reviewed to ensure proper settings?Attach set up reports, if applicable <br /> ❑ Yes ❑ No* Is all monitotin a ui mento stational per manufacturer's s ecifications? <br /> " in Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments; <br /> Replaced/tested sensor in regular fill sump only. <br /> r. <br />