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9255517888 Line 1 08:48:58 01-20-2015 3/17 <br /> �GErrLER-RYAN INC. GR Job# 20-630005 <br /> D. Results of Testing/Servicing RECEIVED Software Version Installed: 329.00 <br /> Complete the following checklist: A NI <br /> Yes— ❑ o Is the audible alarm operational? <br /> E Yes ❑ No' Is the visual alarm operational? <br /> Yes ❑ No' Were all sensors visually inspected,functionally tested,and confirmed operational? 7A <br /> �--Yes—-[]-No* -Were-allsensors installed of lowest point of secondary containment and positioned so that other equipment will not interfere .t AA rJ <br /> proper o eraflon? <br /> ER Yes ❑ No' If alarms are relayed to a remote monitoring station,is all communication equipment(e.g.modem)operational? <br /> ❑ N/A <br /> Yes ❑ No" For pressurized piping systems,does the turbine automatically shut down it the piping secondary containment monitoring system <br /> ❑ NIA detects a leak,fails to operate,or is electrically disconnected?If yes:which sensors initiate positive shut-down?(Check al/that apply) <br /> E SumprTrench Sensor; G Dispenser Containment Sensor.Did you confirm posltive shutdown due to leaks and sensor <br /> failure/disconnection? (y Yes; ❑ No. <br /> Yes ❑ No' For tank systems that utilize the monitoring system as the primary tank overfll warning device(i.e.no mechanical overfill prevention <br /> ❑ WA 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 lank capacity does the alarm trigger? --2-0_% <br /> ❑ Yes E No Was any monitoring equipment replaced?If yes,identify specific sensors,probes,or other equipment replaced and list the <br /> manufacturer name and model for all replacement parts in Section E.below. <br /> ❑ Yes E 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 /> i-a 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 corrected. <br /> E. Comments: <br /> Monitoring System Certification Page 2 of 4 12107 <br /> 2 <br />