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66/19/2003 16:35 4089710195 SSS INC PAGE 03 <br /> Monitoring System Certification-page 2 oJ'3 <br /> Site Address: 4315 Waterloo Rd.P, Hwy, 99 Date of Testis J 05/21103 <br /> 1,lServicing: <br /> D. Results of Testing/Servicing <br /> Software Version Installed- 119.02 <br /> Complete the fo-flowing checklist: <br /> a Yes ❑ No* Is the audible alarm operational? <br /> ®Yes r1 No* (s tho visual alarni operational'? <br /> ®Yes ❑ No* Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> ®Yes ❑ No Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will <br /> not intertere w)th their pr2Rer o oration? <br /> ®Yes ❑ No* If alanns are relayed to a remote monitoring station,is all communications equipment(e.g.modem) <br /> ❑N/A operational? <br /> ®Yes 13 No* For pressurized piping systems,does the turbine automatically shut down if the piping secondary containment <br /> ❑ N/A monitoring system detects a leak,fails to operate,or is electrically disconnected? If yes: which sensors initiate <br /> pusi&O shut-duwn? (Check all that apply) a Surnp/Trench Sensors; ❑,01spenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? 3 Yes ❑No <br /> ❑Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e. nn <br /> C1 N/A mechanical overfill prevention valve is installed),is the overfill warning alarm visible and audible at the tank <br /> fill point(s)and operating properly? If so,at what percent of tank capacity does the alarm tri ger? 0 % <br /> ❑Yes* ®No Was any monitoring cquipmcnt replaced?If yes,identify specific seijsurs,probas,or other equipment replaced <br /> and list the manufacturer name and model for all 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) <br /> Cl Product; ❑ Water. If yes,describe causes in Section.E,below. <br /> –i—Yes D No* Was monitorings stem set-up reviewed to ensure proper settings? Attach set-up reports, <br /> if applicable.) <br /> 6tl V'�c n No* j I.s all monitoring equipment operational per manufacturer's speciticationa? <br /> *In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: <br />