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Monitoring System Certification <br /> Site Address: Date of Testing/Servicing: <br /> D. Results of Testing/Servicing <br /> Software Version Installed: <br /> COMPI the foliowin checklist: <br /> ❑ Yes ❑ No* Is the audible alarmoperational? <br /> ❑ Yes ❑ No* Is the visual alarm rational? <br /> ❑ Yes ❑ No* Were all sensors vi functionally tested,and confirmed operational? <br /> ❑ Yes ❑ No* Were all sensors installed at lowest point of secondary containment and positioned so that other eq7uipment <br /> will not interfere with their on? <br /> ❑ Yes ❑ No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> ❑ 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: which sensors <br /> initiate positive shut-down? (Check all that apply) ❑ Sump/Trench Sensors; ❑ Dispenser Containment <br /> 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 /> fill int s and operating pm ? If so at what t of tank ca ci does the alarm tri er? ????% <br /> ❑ Yes*' ❑ No Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment <br /> replaced 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 monitorin stem set-up reviewed to ensure proper settings? <br /> ❑ Yes ❑ No* Is all monitorin uimento rational manufacturer's cations? <br /> * In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: <br /> 7' <br /> 64 <br /> ,a <br />