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ECEIV'EE <br /> D.Results of Testing/Servicing <br /> Software Version Installed: 326.03 JUN 2 9 2015 <br /> Complete the following checklist: NTA[ <br /> IT Yes No* Is the audible alarm operational? I!r A,rte,1r0eree00T <br /> IT Yes No* Is the visual alarm operational? <br /> • Yes No* Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> • Yes NO Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere will <br /> heir proper operation? <br /> yes No- If alarms are relayed to a remote monitoring station,is all communications equipment(e.g.modem)operational? <br /> • N/A <br /> IT Yes No' or pressurized piping systems,does the turbine automatically shut down if the piping secondary containment monitoring <br /> stem detects a leak,fails to operate,or is electrically disconnected?If yes:which sensors initiate positive shut-down?(Check <br /> N/A 11 fhat apply Sump/Trench Sensors; r Dispenser Containment Sensors. <br /> id you confirm positive shut-down due to leaks and sensor failure/disconnection?R Yes; r No <br /> Yes 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 io,at what Percent of tank capacity does the alarm trigger?% <br /> Yes* • No Nas any monitoring equipment replaced?If yes,identify specific sensors,probes,or other equipment replaced and list the <br /> anufacturer name and model for all replacement parts in Section E below. <br /> IT Yes* No as liquid found inside any secondary containment systems designed as dry systems?(Check all that apply) <br /> Product r Water.If es describe rouses in Section E below. <br /> UEYes No* as monitoring system set-up reviewed to ensure proper settings?Attach set up reports,If applicable <br /> • Yes No* s all monitoring equipment operational per manufacturers specifications? <br /> *In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E.Comments: <br /> Very small amount of water was located in 91 Stip and Diesel SIP. <br /> Monitoring System Certification Page 2 of 3 12/07 <br />