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Cal.Code Regs.Title 23, Division 3,Chapter 16,Underground Tank Regulations <br /> D. Results of Testing/Servicing <br /> Software Version Installed: <br /> Complete the following checklist:. <br /> K Yes 0 No' Is the audible alar operational? <br /> £� Yes O Nd` Is the visual alarm operational? <br /> Yes ❑ No' Were ail sensors visually Inspected,functionally tested,and confirmed operational? <br /> X Yes" ❑ Ne Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their <br /> roper o pemUon? <br /> Yes ❑ No` If alarms are relayed to d remote monitoring station;is all communications equipment(mg.modem)operational? <br /> ❑. NIA <br /> pS Yes 0 No" For pressurized piping systems,does the turbine automatically shut down if the piping secondary gonlainmant monitoring system <br /> ❑ WA detects a leak fails to operate,or is electrically disconnected? If yes..which sensors initiate positive shutdown? (Check all that <br /> apply)J-<Sump/Tmnch Sensc;, wispenser Containment Sensors.Did you confine positive shut-down due to leaks and sensor <br /> failure/disconnection? es' 0 No. <br /> 0 Yes ❑ No` For tank systems that utilize the monitoring system as the primary tank overfill warning device(Le,no mechanical overfill prevention <br /> K WA valve Is installed),is the overfill warning alar visible and audible atthe tank fill point(s)and operating properly? If so,at what percent <br /> of tank capacity does the alarm trigger? % <br /> ❑ Yes` K No Was any monitoring equipment replaced? If yes,identify specific sensors,pmbes,or other equipment replaced and list the <br /> manufacturer name and model for all replacement parts in Section E,below. <br /> ❑ Yes' yY No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply)0 Product U Water. If <br /> es,describe causes in Section E,below. <br /> L� Yes ❑ No` Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable <br /> ,R' Yes ❑ No` is all mamloring equipment operational par manuracturees specifications? <br /> 'In Section E below,describe how and when these deficiencies were or will be contacted. <br /> E. Comments: <br /> Monitoring System Certification Page 2 of 4 _ 03101 <br /> C <br /> 109- <br />