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D. Results of Testing/Servicing <br /> Software Version Installed <br /> Complete the following checklist: <br /> Yes ❑ No' Is the audible alarm operational? <br /> (� Yes ❑ No' IS the visual alarm operational? <br /> [>j Yes ❑ No. <br /> Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> 2� Yes ❑ No' Were an sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper <br /> operation? <br /> U Yes ❑ No. If alarms are relayed to a remote monitoring station,is all communications equipment(e.g.,modem)operational? <br /> ® N/A <br /> rZ Yes ❑ No' For pressurized piping systems,does the turbine automatically shut down it the piping secondary containment monitoring system detects a leak, <br /> ❑ N,A fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut-down? (Check all(pat apply) ® SumplTrench <br /> Sensors; 0 Dispenser Containment Sensors. <br /> Did you confirm positive shutdown due to leaks pn sensor fallure/disconnection? 0 Yes; ❑No. <br /> LJ Yes ❑ No. ntion valv@ IS <br /> For lank systems that utllize the monitoring system as me primary tank overfill warning device(i.e., mechanical o,twhai ace tli reoelank capaclly <br /> ® <br /> NIA installed),is the overfill warning alarm visible and audible at the tank fill point(s)and operating properly? p <br /> does the alarm trigger? °/ <br /> ❑ Yes No Was any monitoring equipment replaced? If yes,identify specific sensors,probes,or other equipment replaced and list the manufacturer name <br /> and model for all replacement pans in Section E,below. <br /> I]Yes- ID No Was liquid found inside any secondary Containment systems designed as dry systems? (Check 80 that apply) <br /> 0 Product; ❑Water. It yes,describe causes in Section E,below. <br /> Yes ❑ No' Was monitoring system set�up reviewed to ensure proper settings?Attach set up re ons,if applicable <br /> Yes ❑ No' Is all monitoring equipment operational per manufacturer's specifications? <br /> In Section b below,describe how and when these deficiencies woro or will be corrected. <br /> Comments; <br /> Monitoring System Certification Page 2 of 4 2/21107 <br />