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Oft <br /> D.Results of Testing/Servicing <br /> Software Version Installed: 330.00 <br /> Complete the following checklist: <br /> rr Yes r No* Is the audible alarm operational? <br /> re Yes IF No* Is the visual alarm operational? <br /> r: Yes IF No* Were all sensors visually Inspected,functionally tested,and confirmed operational? <br /> G Yes IF No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere wi <br /> heir proper operation? <br /> re Yes r No* If alarms are relayed to a remote monitoring station,is all communications equipment(e.g,modem)operational? <br /> N/A <br /> r+ Yes r No* For pressurized piping systems,does the turbine automatically shut down if the piping secondary containment monitoring <br /> N/A system detects a leak,fails to operate,or is electrically disconnected?If yes:which sensors initiate positive shut-down?(Check <br /> all that apply)P Sump/Trench Sensors; r Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection?{+ Yes; r No <br /> Yes IF No* For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e.no mechanical overfill <br /> r` N/A prevention valve is installed),is the overfill warning alarm visible and audible at the tank fill point(s)and operating properly?If <br /> o at what percent of tank capac&does the alarm trigger?% <br /> Yes* r: 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 /> IF Yes* r: No Was liquid found inside any secondary containment systems designed as dry systems?(Check all that apply) <br /> Product,• r Water.If yes,describe causes in Section E below. <br /> fe' Yes (' No* Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable <br /> r• Yes IF 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 /> Monitoring System Certification Page 2 of 3 12/07 <br />