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9255517888 Line 11:02:44 07-28-2014 3/8 <br /> rl 6ETTLER-RYAN INC. GR Job # 20-601679 <br /> D, Results of Testing/Servicing <br /> R E E <br /> Software Version Installed: I <br /> Complete the following checklist: J U L 2 8 2014 <br /> Yes o' Is the audible alarm operational? <br /> Fx Yes No' Is the visual alarm operational? i AL —• <br /> [t Yes No' Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> AM <br /> Yes No' Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will n i r i t eir <br /> proper operation? <br /> E] Yes No' If alarms are relayed to a remote monitoring station,is all communication equipment(e.g.modem)operational? <br /> N/A <br /> ff Yes D 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 /> ff Sump/Trench Sensor; rs Dispenser Containment Sensor.Did you confirm positive shut-down due to leaks and sensor <br /> failure/discohnection? Yes; ❑ No. <br /> 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 trigger? % <br /> [ 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 ®x 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 I ❑ 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 /> Replacement of L10 Sensor. <br /> Monitoring System Certification Page 2 of 4 12/07 <br /> 2 <br /> Recelved Time Jul, 28. 2014 10: 51AM No, 6694 <br />