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Monitoring System Certification <br />Site Address: 3~ 5 5 W� /14,K1Hd Date of Testing/Servicing: b /%�% d 2--- <br />D. Results of Testing/Servicing <br />Software Version Installed: <br />pi Yes <br />❑ No* <br />Is the audible alarm operational? <br />Yes <br />❑ No* <br />Is the visual alarm operational? <br />Yes <br />❑ No* <br />Were all sensors visually inspected, functionally tested, and confirmed operational? <br />Yes <br />❑ No* <br />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 />❑ Yes <br />❑ No* <br />If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br />6 N/A <br />operational? <br />Yes <br />❑ No* <br />For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br />❑ 1,r/A <br />monitoring system detects a leak, fails to operate, or is electrically disconnected? If ycs: which sensors initiate <br />shut -down? (Check all that apply))EISump/Trench Sensors;c�,ispenser Containment Sensors. <br />positive <br />Did you confirm positive shut -down due to leaks and sensor failure/disconnection?XrYes; ❑ No. <br />❑ Yes <br />❑ No* <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br />N/A <br />mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br />III point(s) and operating properly? If so; at what percent of tank capacity does the alarm trigger? % <br />❑ Yes* <br />No' <br />Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced <br />and Iist the manufacturer name and model for all replacement parts in Section E, below. <br />❑ Yes* <br />No <br />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 />Yes <br />❑ No* <br />Was monitoring system set-up reviewed to ensure proper settings? <br />Yes <br />❑ No* I <br />Is all monitoring equipment operational per manufacturer's specifications? <br />* In Section E below, describe how and when tnese aenciencies were or It ui uc -L 1 --cu. <br />