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Moniwring System Certification <br /> Site Address: 11100S MAIN STREET Date ofTestinrvicing_ lzz<3 Ac <br /> D. Results of TestinglServicing <br /> 1 S oftware V ersion Installe d: � �( , <br /> Com to the follow N checklist: <br /> 2-11 e I] No* Is the audible alarm operational? <br /> E] No* Is the visual alarm operational? <br /> e No* Were all sensors visually inspected,functionally tested, and confirmed operational? <br /> es No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will <br /> not interfere with their proper operation? <br /> Q Yes [] N If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> IA operational? <br /> es D No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br /> NIA monitoring system detects a leak, fails to operate, or lectrically disconnect Ifyes: which sensors initiate <br /> positive shut-down? (Check all that apply) g- umplTrench Sensors, _ ispenser Co ent Sensors. <br /> Did you confirm positive shut.-down due to leaks and sensor failure/disconnection? _ es; -D'-'No. <br /> Q Yes D No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br /> IA mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> M p oin s and op erating properl If so, at what p ercent of tank c ap acity does the alarm trigger? . .% <br /> p Yes* o Was any monitoring equipment replaced? If yes,identify specific sensors,probes, or other equipment replaced <br /> and list the manufacturer name and model for all replacement PaAs in Section E,below. <br /> s* o Was liquid found inside any secondary containment systems designed as dry systems? (Check all thatgYly) ]. <br /> Product; Cl Water. If yes, describe causes in Section E,below. <br /> Y J] Ido* Vias <br /> Monitoring system setup reviewed to ensure proper settings? <br /> es No* Is all monitoring equipment oerational joer manufacturer's specifications? <br /> *In Section E below,descr-be how and when these deficiencies were or will be corrected. <br /> E. Comments: <br /> i <br /> i <br /> f <br /> 1 <br /> I <br /> I <br /> e <br /> Page 2 of 3 03A1 <br />