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lbionitoring'System Certification • • <br /> D. Results of Testing/Servicing <br /> Software Vi Sion Installed: <br /> Complete t e following checklist: <br /> x Yes No* Is the audible alarm operational? <br /> x Yes No* Is the visual alarm operational? <br /> x Yes No* Were all sensors visual) inspected, functional) tested, and confirmed operational? <br /> (x)Yes No* Were all sensors installed at lowest point of secondary containment 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 /> (x) N/A operational? <br /> (x)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 operate, or is electrically disconnected? If yes:which sensors initiate <br /> positive shut-down? (Check all that apply) ❑D Sump/Trench Sensors; D Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? x❑Yes; ❑No. <br /> O Yes (,) No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br /> (x) N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> fillpoint(s)and operating ro erl ? If so, at what percent of tank capacity does the alarm trigger? _% <br /> ( )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* ) No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) ❑ <br /> Product; ❑ Water. If es,describe causes in Section E, below. <br /> x Yes ❑ No* Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable <br /> _(D Yes ❑ No* Is all monitoring equipment oerational per manufacturer's specifications? <br /> * In Sectior E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: <br /> Page 2 of 4 03/01 <br />