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RECEIVED <br /> D.Results of Testing/Servicing OCT 24 2014 <br /> Software version Installed: 333.03 <br /> complete the followingchecldist: ENVIRONMENT LTH <br /> • TrNo- s the audible alarm operational? DEPABIMFNT <br /> • the visual alarm operational? <br /> • ere all sensors visually inspected,functionally tested,and confirmed operational? <br /> f: ere all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere witheir roer o eration? <br /> f alarms are relayed to a remote monitoring station,is all communications equipment(e.g.modem)operational? <br /> • Yes r No* For pressurized piping systems,does the turbine automatically shut down if the piping secondary containment monitoring <br /> system detects a leak,fails to operate,or is electrically disconnected?If yes:which sensors initiate positive shut-down?(Check <br /> f N/A all that apply)rl Sump/Trench Sensors; r Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection?fs Yes; r No <br /> Yes r No* for tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e.no mechanical overfill <br /> prevention valve is installed),is the overfill warning alarm visible and audible at the tank fill point(s)and operating properly?If <br /> (' N/A at what percent of tank capacity does the alarm tri er?95% <br /> Yes* IT No Alas 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 parts in Section E below. <br /> r Yes* IT No Nyas 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 /> 6 Yes f No* as monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable <br /> • Yes Ir No- s all monitoring equipment operational per manufacturer's specifications? <br /> *In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E.Comments: <br /> Monitoring System Certification Page 2 of 3 12/07 <br />