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aGEMER-RYAN INC. GR Job# 20-630005 <br /> D. Results of Testing/Servicing <br /> Software Version Installed: 329.00 <br /> Complete the following checklist: <br /> F es ❑ o Is the audible alarm operational? <br /> [L- Yes ❑ No' Is the visual alarm operational? <br /> FA Yes ❑ No' Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> 11 Yes ❑ No' Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not Interfere with their <br /> proper operation? <br /> Yes ❑ No' If alarms are relayed to a remote monitoring station,is all communication equipment(e.g.modem)operational? <br /> ❑ NIA <br /> Yes ❑ 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 aN that apply) <br /> rSump/Trench Sensor, Id Disperser Containment Sensor.Did you confirm positive shut-down due to leaks and sensor <br /> faitureldlsconnection? Ia Yes; ❑ No. <br /> Yes ❑ No' For tank systems that utilize the monitoring system as the primary tank overfill warning device(l.e.no mechanical overfill prevention <br /> ❑ WA valve is installed),is the overfill warning alarm visible and audible at the tank fill points)and operating property?If so,at what percent <br /> of tank capacity does the alarm trigger'? 90 % <br /> ❑ Yes rA No Was any monitoring equipment replaced?0 yrs,identify specific sensors,probes,or other equipment replaced and fist the <br /> manufacturer name and model forall 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) []Product; ❑Water. If <br /> yes,describe causes in Section E.below. <br /> Yes ❑ No' Was monitoring system set-up reviewed to insure proper settings?Attach set-up reports,if applicable. <br /> Ia Yes [] No' I Is all monitoring equipment operational per manufacture's specifications? <br /> In Section E below,describe how and when these deficiencies were or will be To ectad. <br /> E. Comments: <br /> Monitoring System Certification Page 2 of 4 12/07 <br /> 2 <br />