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JAN.10.2013 y' 24AN CORNELIUS & COMPANY NO. &37 P. 2 <br />'�. Results of TestinoOrvicing <br />Softwere Version Installed' <br />Cam lets the followln checkllst <br />X Yes <br />❑ No" <br />Is Ilie Audible alarm operational? <br />X Yes <br />U No" <br />Is the Visual a1arm 0136TOonal7 <br />X Yes <br />X Yes <br />;:J No' <br />-No- <br />Ware all sert3lirs visually fns ectad, functlonall tested, and Gonflrmed 0 erational7 <br />i_f <br />Were all sensors installed at lowest point of secnnde(y containment and positioned so that other equipment wit not interfere with their <br />ro era eratlon? <br />0 Yes <br />G No' <br />X Nita, <br />If alarms are relayed to 2 remote moAitoring station, is all comltiunicatlons equipment (e.g_ motlem) opsrational? <br />X Yes <br />2 No* <br />N/A <br />For pressyrjzed piping systema, does the turbine automatically shut down it the piping secondarycants Mment mak system <br />detects a leak, falls to operate, or is electrically disconnectsd7 <br />If yes; which ssrlSors initiate positive shut -lawn? (Check a!1 that apply) <br />all h <br />0 Sumpfrrench Sensors; M Dispenser Containment Sensors. Did you confirm pOsltive shutdown due to leeks end sensor <br />failure/dfacarrnection7 ❑Yes' t7 No. <br />'] Yes <br />11 No* <br />X NIA <br />For tank systems that atIII the monitoring system as the primary tank overfill warning device (I.e, no mechanical overfill prevention <br />valve is installed), ie the overfill warning alarrn visible and aUdlble at the tank till <br />points) and operating propedy7 If so, at what percent <br />of tank ca acity does the alarm trigger? /, <br />Yes` <br />X No <br />Was any monitoring equipment replaced? If yes, identity specilla sensors, probes, or other equlpmont replaced and list the <br />manufacturer name and model for all replacement earts in Section E beloty, <br />J Yes` <br />X No <br />Was liquid found inside any secondary containment systomS d0signQd as dry systems? (Check all that appy) ❑ Product, ❑ Water, If <br />ss, describe causes in Section E below. <br />X Yea <br />„] No* <br />Was monitoring system set-up revlewed to ensUro pro ersettings?Attach set up reports, if appllcabl3 <br />X Yes <br />❑ No' <br />is all mortltoring equipment operational per manufacturer's spgeificationsp <br />" In Section E below, describe how and when these deficiencies were orwill be corrected. <br />E, Comments: <br />Monitoring System Certification <br />Page 2 of b 12J07 <br />2 2/21/07 <br />