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4 <br /> Monitoring System Certification <br /> 'Site Address: Date of Testing/Servicing: <br /> D. Results of Testing/Servicing <br /> Software Version Installed: <br /> Co tete the foil 'no checklist: <br /> .Yes 0 No* Is the audible alarm 2perational? <br /> Yes [I No* Is the visual alarm 2Erational? <br /> Q Ye <br /> ,%­­ Were all sensors vmW!y inspected,functionally tested,and confirmed operational? <br /> es 0 No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment <br /> will not interfere with their Pm <br /> in operation? <br /> [I Yes 0 No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> � A operational? <br /> Yes 0 No* For pressurized piping systems,does the turbine automatically shut down if the piping secondary containment <br /> 1A monitoring system detects a leak, falls to operate, or is,electrically disconnected? If yes: which sensors <br /> initiate positive shut-down? (Check all that appz�) 0 Sump/Trench Sensors; 0 Dispenser Containment <br /> Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/discionnection? 0 Yes; 0 No. <br /> 0 Yes 0 Na*—+For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br /> EKIA] mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> fill int(s)and 9EELULn2 prop erl ? If so,at what gcent of tank capacity does the alarm trig&er? ?7??O/o <br /> 0 Yes* P-No- Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment <br /> aced and list the manufacturer name and model for all TRIacement pAqs in Section E,below. <br /> 0 Yes* o Was liquid found inside any secondary containment systems designed as dry systems? (Check all that appkv)- <br /> 0 Product; 0 Water. If yes,describe causes in Section E,below. <br /> 0 No* Was monitoring gAtern set-22 reviewed to ensure pro xT settings? <br /> Lj <br /> Yes 10 No* I Is all monitoring eg!Li�ment o rational per manufacturer's specifications? <br /> In S 'on E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: <br />