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&TTL ER-RYAN INC. GR Job#' ZOO <br /> D. Results of Testing/Servicing MAR G' 9 2011 <br /> Software Version Installed: 330.01 <br /> Complete the following Checklist: <br /> ENVIRONMENTAL HEALTH <br /> F, es E] o Is the audible alarm operational? <br /> FA Yes [] No' Is the visual alarm operational? <br /> a Yes E] No' Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> E Yes ❑ No' Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their <br /> roper operation? <br /> r4 Yes ❑ No- If alarms are relayed to a remote monitoring station,is all communication equipment(e.g.modem)operational? <br /> [] N/A <br /> E Yes E] No' For pressurized piping systems,does the turbine automatically shut down if the piping secondary containment monitoring system <br /> (] N/A detects a leak,fails to operate,or is electrically disconnected?If yes:which sensors initiate positive shut-down?(Check all that apply) <br /> FA Sump/Trench Sensor, G Dispenser Containment Sensor.Did you confirm positive shut-down due to leaks and sensor <br /> failure/disconnection? 11 Yes; [] No. <br /> rA Yes (] No' For tank systems that utilize the monitoring system as the primary tank overfill warning device(i e.no mechanical overfill prevention <br /> [] N/A valve is installed),is the overfill warning alarm visible and audible at the tank fill point(s)and operating properly?If so,at what percent <br /> of tank capacity does the alarm triggers 90 % <br /> ra Yes [] No Was any monitoring equipment replaced?If yes,identify specific sensors,probes,or other equipment replaced and list the <br /> 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) []Product []Water. If <br /> yes,describe causes in Section E,below. <br /> Yes (] No' Was monitoring system set-up reviewed to insure proper settings?Attach set-up reports,if applicable. <br /> Yes (] No' Is all monitoring equipment operational per manufacture's specifications? <br /> In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: <br /> 87 Fill 794380-208 sensor failed. <br /> Changed out sensor-Retested and passed. <br /> Monitoring System Certification Page 2 of 4 12/07 <br /> i <br />