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SD.o Results of TestingServicing RECEIVED <br /> Software Version Installed: 333.04 <br /> Complete the following checklist: OCT 16 2017 <br /> • Yes r No* Is the audible alar operational? <br /> • Yes r No* Is the visual alarm operational? MVIROU <br /> • Yes r No* Were all sensors visually inspected,functionally tested,and confirm operational? <br /> Yes r No* Were all sensors installed at lowest point of secondary containment and positioned so that o er equipmen'will not interfere with <br /> heir pro er operation? <br /> Yes r No* If alarms are relayed to a remote monitoring station,is all communications equipment(e.g.modem)operational? <br /> • N/A <br /> • Yes r No* For pressurized piping systems,does the turbine automatically shut down if the piping secondary containment monitoring <br /> r N/A stem detects a leak,fails to operate,or is electrically disconnected?If yes:which sensors initiate positive shut-down?(Check <br /> all that appty)rSump/Trench Sensors; r Dispenser Containment Sensors. <br /> .Did you confirm positive shut-down due to leaks and sensor failure/disconnection?r 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 /> • N/A prevention valve is installed),is the overfill warning alarm visible and audible at the tank fill polnt(s)and operating properly?If <br /> o at what Percent of tank capacity does the alar trigger?% <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 parts in Section E below. <br /> Yes* IT No Was liquid found=any secondary containment systems designed as dry systems?(Check all that apply) <br /> _. Product; r Water.If yes,describe causes In Section E below. <br /> • Yes r No* Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable <br /> • Yes r No* Is 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 /> 91 spill bucket failed turned in to office. <br /> Monitoring System Certification Page 2 of 3 12/07 <br />