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4 . 0 *RECEIVED <br /> D. Results of Testing/Servicing <br /> FEB 14 2014 <br /> Software Version Installed: TS1000 <br /> ENVIRONMENTAL HEALTH <br /> Com tete the foliowin checklist: PER IT/ E VIC S <br /> ® Yes ❑ No* Is the audible alarm operational? <br /> ® Yes ❑ No* Is the visual alarm operational? <br /> ®Yes ❑ No* Were all sensors visually inspected, functionally tested,and confirmed operational? <br /> ® Yes ❑ No* 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 ❑ No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g., modem) <br /> E N/A operational? <br /> ® Yes ❑ No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br /> ❑ N/A monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: whitrh sensors initiate <br /> positive shut-down? (Check all that apply) ®Sump/Trench Sensors; ❑ Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? ❑ Yes; ❑No. <br /> ❑ Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e., no <br /> ❑ N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> till point(s)and operating properly? If so,at what percent of tank capacity does the alarm trigger? 90% <br /> ® Yes* ❑ No Was any monitoring equipment replaced? If yes, identify specific sensors, probes,or other equipment replaced <br /> and list the 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) <br /> ❑ Product; ❑ Water. If yes,describe causes in Section E,below. <br /> ® Yes ❑ No* Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports, if applicable <br /> ® Yes ❑ No* Is 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:REPLACED AND TESTED DSL STP SENSOR ONLY <br /> Monitoring Certification Test Report <br /> 2 of 2 <br />