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I/ GETTLER-RYAN live. GR Job# 20-640046 <br /> D, Results of Testing/Servicing RECEIVED <br /> Software Version Installed: 329.00 JAN 2 2 2016 <br /> Complete the following checklist: <br /> r es o is the audible alarm operational? ` ` <br /> [I Yes [3 No' I Is the visual alarm operational? HEATH DEPARTMENT <br /> Ii Yes [3 No' Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> Ii Yes [3 No- Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfe4 with their <br /> properoperation? <br /> I] Yes 0 No' if alarms are relayed to a remote monitoring station,is all communication equipment(e.g.modem)operational? <br /> la N/A <br /> Id Yes 13 No' For pressurized piping systems,does the turbine automatically shut down if 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 /> Iia Sump/Trench Sensor; (L Dispenser Containment Sensor.Did you confine positive shut-down due to leaks and sensor <br /> failure/disconnection? Ii Yes. 13 No. <br /> li Yes 13 No- For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e.no mechanical overfill prevention <br /> N/A valve is installed),is the overfill warning alarm visible and audible at the tank fill point(s)and operating properly?if so,at what percent <br /> of tank capacity does the alarm trigged 90 % <br /> rx Yes 0 No Was any monitoring equipment replaced?If yes,identify speck sensors,probes,or other equipment replaced and list the <br /> manufacturer name and model for all replacement parts in Section E,below. <br /> Ii Yes [3 No Was liquid found inside any secondary containment systems designed as dry systems?(Check all that appy) [3Product ®Water. If <br /> yes,describe causes in Section E,below. <br /> Ej Yes 13 No' Was monitoring system set-up reviewed to insure proper settings?Attach set-up reports,if applicable. <br /> Cj Yes 0 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 /> Replace Annular sensors like for like 794390-409 <br /> Approx cups of rain water was removed from the 87-2 STP Sump. Left in Haz drum already an site <br /> Monitoring System Certification Page 2 of 4 12/07 <br /> 2 <br />