COMPLIANCE INFO_2006-2012 - Laserfiche WebLink

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Monitoring System Certification Site Address: Date of Testing/Servicing: A Results of Testing/Servicing Software Version Installed: CmplLete the lollowin checklist; es ❑ No* Is the audible alarm onal? Yes ❑ No* Is the visual alarm oral? D' es ❑ No* Were all sensors visual funcEionalI tested, and conformed onal? ❑'Yes ❑ No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not ire with their on? ® Yes ❑ Net If alarms are relayed to a remote monitoring station, is all communications operational? equipment (e.g modem) Yes ❑ No* For pressurized Piping systems,does the turbine automatically shut down if the ❑ N/A monitoring system detects a leak, finis to Piping secondary t operate, or is electrically disconnected? if yes: which sensors initiate Positive shut-down? (Check all that apply) U-Somp/Trench Sensors; ® Dispenser Coatainnaent Sensors. Did you confirm Positive shut-down due to leaks ander failure/disconnection? � L(OYes* ❑ No* For tank E]-'Yes; Q No. systems that utilize the motoring system as the Primary tank overfill warning device (i.e. no CJ=M/A mechanical overfill Prevention valve is installed), is the overfill warning fill int s and o tin 1 ? If so,at what t of tank act does the,alarm trigger?e and at the O No Was any monitoring equipmem If laced and list the man ? yes, identify specific sensors, Probes, or other equipmentEf name and model for all lacement in Section E,below. p No Was liquid found inside any secondary containment systems desi ed as® ' ❑ Water. Tf �y systems? (Check all that apply) describe causes in Section E,below. ❑ No* Was moriitonn stens set- revieed to ensure❑ No* Is all monitorin ment rational per manufacturerscations? " In Section E below,describe how and when these deficiencies were or will be corrected, E. Comments: c JJ � Ja-�ti D`