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RECEIVED <br /> D.Results of Testing/Servicing <br /> Software Version Installed: 332.02 OCT0y <br /> Complete the following checklist: 9 <br /> •° Yes r No* Is the audible alarm operational? <br /> • Yes - No* Is the visual alarm operational? <br /> • Yes r No* Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> • Yes r No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with <br /> heir proper operation? <br /> Yes r No* If alarms are relayed to a remote monitoring station,is all communications equipment(e.g.modem)operational? <br /> G' N/A <br /> *, Yes r No* For pressurized piping systems,does the turbine automatically shut down if the piping secondary containment monitoring <br /> stem detects a leak,fails to operate,or is electrically disconnected?If yes:which sensors initiate positive shut-down?(Check <br /> N/A all that apply)57 Sump/Trench Sensors; W Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection?ro Yes; r No <br /> Yes G No* For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e.no mechanical overfill <br /> prevention valve is installed),is the overfill warning alarm visible and audible at the tank fill point(s)and operating properly?If <br /> N/A so,at what percent of tank capacity does the alarm trigger?% <br /> Yes* G 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 as liquid found inside any secondary containment systems designed as dry systems?(Check all that apply) <br /> Product, r Water.If yes,describe causes in Section E below. <br /> *' Yes r No* as monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable <br /> re Yes ':= No* s all monitoring equipment operational per manufacturer's specifications? <br /> *In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E.Comments: <br /> Monitoring System Certification Page 2 of 3 12/07 <br />