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D. Results of Testing/Servicing <br /> Software Version Installed: <br /> Complete the following checklist: <br /> X Yes a No* is the audible alarm operational? <br /> X Yes ❑ No* Is the visual alarm operational? <br /> X Yes ❑ No* Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> X Yes ❑ No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their <br /> proper operation? <br /> Yes No* if alarms are relayed to a remote monitoring station,is all communications equipment(e.g.modem)operational? <br /> X N/A <br /> X Yes ti 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 at/that apply) <br /> ❑ Sump/Trench Sensors; ❑ Dispenser Containment Sensors. Did you confirm positive shut-down due to leaks and sensor <br /> failure/disconnection? ❑Yes; n No. <br /> Yes n No* For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e.no mechanical overfill preventton <br /> X 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 capac!!y does the alarmtrigger? <br /> ❑ Yes* X 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 /> s,describe causes in Section E,below. <br /> X Yes ci No* Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports,If applicable <br /> X 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: <br /> I t I V t-- U <br /> NOV 16 ZUlb <br /> P®' <br /> ENVIRONMENTAL i <br /> ALTH <br /> 9EpA ENI <br /> Monitoring System Certification Page 2 of 4 12/07 <br /> 2 2/21/07 <br />