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V It U7/iLV1V r•x1 1V: 4`J r'AX LV`J4btSJ4JJ 5Jt.: EHD -•-+-• Al:tosctatest <br />14003/007 <br />D. Results of Testing/Servicing <br />Software Version Installed: 329.09 <br />0 V Yes"y <br />❑` No' <br />is the audible alarm operational? <br />W Yes <br />Cl No' <br />Is the visual alarm operational? <br />Q.1 Yes <br />❑ No' <br />Were all sensors visually inspected, functionally tested, and confirmed operational? I <br />• Yes <br />❑ No' <br />Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will1not interfere with their proper <br />operation? <br />_ <br />!-1 Yes <br />0 No. <br />If alarms are relayed to a remote monitoring station, is all communications equipment (e.g., modem) operational? <br />N/A <br />iR Yes <br />❑ No- <br />For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment monitoring system detects a teak, <br />hat ® Sump/Trench <br />❑ N/A <br />fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut -down? (Check all apply) <br />Sensors; 3 Dispenser Containment Sensors. <br />Did you confirm positive shut -down due to leaks pn sensor failureldisconnection? ® Yes; O No. i <br />( Yes <br />❑ No' <br />j� N/A <br />For tank systems that ufixze the monitoring system as the primary tank overfill warning device (i.e., no mechanical overfill prevention valve is <br />installed), is the overfill warning alarm visible and audible at the tank fin points) and operating property? If so, at what percent of tank capacity <br />does the alarm trigger? 90% i <br />0 Yes <br />0 No <br />Was any monitoring equipment replaced? If yes, identify specific sensors, probes; or other equipment replaced and list the manufacturer name <br />and model for all replacement parts in Section E, below. <br />Oyes' <br />® No <br />Was liquid found inside any secondary containment systems designed as dry systems? (Check al/ that apply) <br />El Product; 0 Water. If yes, describe causes in Section E, below. <br />t Yes <br />❑ No. <br />Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if applicable <br />Yes <br />© No' I <br />Is all monitoring equipment operational per manufacturer's specifications? i <br />In Section E below, describe how and when these deficiencies were or will be corrected. <br />Comments: <br />Monitoring System Certification <br />L000/£000[A <br />Page 2 of 4 <br />2/21/07 <br />XVA MOT OTOZ/CT/LO <br />