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Monitoring System Certification „ <br /> D. Results of Testing/Servicing <br /> I <br /> Software Version Installed: <br /> CDttl tete the folio in&checklists <br /> I <br /> CI Y ❑ No* Is the audible alarm operational? <br /> Cl Yes ❑ No* Is the visual alarm operational? <br /> CI Yes ❑ No* Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> Cl Yes C1 No* Were all sensors installed at lowest poirit of secondary containment and positioned so that other equipment will <br /> not interfere with their proper operation? <br /> CI Yes ❑ No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g., modem) <br /> ❑ N/A oPerational? <br /> CI Yes ❑ 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 /> positive shut-down? (Check all that apply) ❑Sump french Sensors; ❑Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks fLnd sensor failure/disconnection? ❑Yes; ❑No. <br /> t <br /> , <br /> ❑ Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e., no <br /> ❑ N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank i <br /> (ill point(s)and operating properly? If so,at what percent of tank capacity does the alarm trigger? 95% 1 <br /> [) Yes* O No Was any monitoring equipment re laced? If yes,identify specific sensors,probes,or other equipment re laced 3 <br /> f <br /> and list the manufacturer name and model for all replacement parts in Section 1 ,below. I <br /> Cl Yes* 0 No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) <br /> _ ❑Product; ❑Water, If yes,describe causes in Section E,below. <br /> C] Yes ❑ No* Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable j <br /> [I Yes C) No* Is all monitoring equipment operational per manufacturer's speci fications? <br /> i`In Section E below,describe how,and when these deficiencies were or will be corrected. <br /> i <br /> F;. Comments: Test after repairs. Brine communication,304 sensor,and 20B sensor tested in Diesel fill sump. <br /> I <br /> ( <br /> I <br /> , <br /> h <br /> r <br /> L <br /> i <br /> l <br /> IIN-036- 3/6 www.unidomor6 Rev.OUly/66 <br /> i <br /> i <br /> � 1 <br /> i <br />