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D. Results of Testing/Servicing Software Version Installed: 1 Com late the followin i checklist: ® Yes ❑ No' Is the audible alarm operational? ® Yes ❑ No' Is the visual alarm operational? ® Yes ❑ NW Were all sensors visually inspected,functionally tested,and confirmed operational? ® 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 communiwlions equipment(e.g.,modem)operational? ® N/A etects a leak, ❑ Yes ❑ No' ® sysie n, dileo ishutdown if the itsecon ary containment monitoring Sed NIA also operate, of iselectricallYdsconnected? If Ys:which sensors positive shut-down? (Check all that apply) ❑ Su pure ch Sensors; [I Dispenser Containment Sensors. Did you confirm positive shut-down due to leaks 1 sensor primary tan nnection7 ❑Yes: ❑No. revention valve is ❑ Yes ❑ No' For rtank systems overfillutilize thea eonitoringesysteand a as to at the tank fill point(s)and operating pk overfill warning device ros perty Ifeso,aat what nical percent of tank capacity ® WAwarning does the alarm trigger? 90% ❑ Yes ® No and m el rotortorin replace ant parts n Section E,below, specific sensors,probes,or Mher equipment replaced and list the manufacturer name Oyes- ® No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) ❑Product; ❑Water. If yes,describe causes in Section E,below. ® Yes ❑ No' Was monitoring system set-up reviewed to ensure proper snings?Attach set up reports,iF applicable ® Yes ❑ No' Is all monitoring equipment operational per manufacturer's specifications? In Section E below,describe how and when these deficiencies were or will be corrected. E. comments: WASTEWATER TANK NO SHUTDOWN REQUIREMENTS 2/21/07 Monitoring System Certification Page 2 oto