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®GETTLER-RYAN /Nc. • ` GR Job# 20-572367 <br /> D. Results of Testing/Servicing <br /> Software Version installed: 120.02 <br /> Complete the following checkllst: <br /> (y es ❑ o Is the audible alarm operational? <br /> ry Yes ❑ No' Is the visual alarm operational? <br /> FL 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 with their <br /> ro er o eration7 <br /> ❑ Yes ❑ No' If alarms are relayed to a remote monitoring station,is all communication equipment(e.g.modem)operational? <br /> rX N/A <br /> rL Yes ❑ No' For pressurized piping systems,does the turbine automatically shut down H the piping secondary containment monitoring system <br /> ❑ N/A detects a leak,fails to operate,or Is electrically disconnected?If yes:which sensors initiate positive shut-down?(Check all that apply) <br /> G Sump/Trench Sensor; fa Dispenser Containment Sensor.Did you confirm positive shut-down due to leaks and sensor <br /> failure/disconnection? rL Yes; ❑ No. <br /> ❑ Yes ❑ No- For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e.no mechanical overfill prevention <br /> ra N/A valve Is Installed),is the overfill waming alarm visible and audible at the tank fill point(s)and operating property?If so,at what percent <br /> of lank capacitydoes the alarm trigger? % <br /> ❑ Yes ry No Was any monitoring equipment replaced?it yes,identify speck sensors,probes,a other equipment replaced and list the <br /> manufacturer name and model for all replacement parts in Section E,below. <br /> ❑ Yes [j No Was liquid found inside any secondary containment systems designed as dry systems?(Check all that apply) ❑Product; ❑Water. If <br /> yes,describe causes In Section E.below. <br /> IL- Yes ❑ No' Was monitoring system set-up reviewed to insure proper settings?Attach set-up reports,if applicable. <br /> E-L Yes ❑ No' Is all monitoring equipment operational per manufacture'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 4 12107 <br /> 2 <br />