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I <br /> Monitoring System Certification <br /> D. Results of Testing/Servicing <br /> I Software Version Installed: <br /> i <br /> Com tete the follo ng checklist: <br /> Yes ❑ No* Is the audible alarm operational? <br /> es ❑ No* Is the visual alarm operational? <br /> jfirYes ❑ No* Were all sensors visual! ted f!nqt onallteste and confirmed o rational? <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 RTM operattion? <br /> j 0 Yes No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> N/A operational? <br /> Yes O 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 op ,or is electrically disconnected? If yes:which sensors initiate <br /> positive shut-down? (Check all that apply Sump/Trench Sensors; E3 Dispenser Containment Sensors. <br /> Did you confirm sitive shutdown due to leaks and sensor failure/disconnection? es; O No. <br /> Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank ov6rfill 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 ins and o era' ro r! ? If so at what percent of tank ca ci does the alarm trigger? ® % <br /> ❑ Yes* W 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 r lacement pSts 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 0 No* Was monitonn gstem!SUM reviewed to ensure o settin ?Attach set u re orts if applicable <br /> Yes ❑ No* Is all monito ' e tri mento ational ger manufacturer's ecifications? <br /> In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: <br /> .,.. Opnvu <br /> W a <br /> 46 r sa or- <br /> v <br /> 0^ <br /> l C <br /> c r- <br /> PIC— — "i <br /> ` QC. <br /> UN-036-2/4 PagC 2 of 3 . Rev.06/04/01 <br /> www.wddoes.org <br />