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RECEIVED <br /> 2015 <br /> ENVIRONMENTAL <br /> HEALTH F)EPA T T <br /> D. Results of Testing/Servicing <br /> Software Version Installed: 123.02 <br /> Complete the following checklist: <br /> x Yes a No* Is the audible alarm operational? <br /> x Yes n 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 D 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 n No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment monitoring system <br /> NIA detects a leak,fails to operate,or is electrically disconnected? If yes:which sensors initiate positive shut-down? (Check all that apply) <br /> Sump/Trench Sensors; Dispenser Containment Sensors. Did you confirm positive shut-down due to leaks and sensor <br /> failure/disconnection? !Yes; No. <br /> i:�� Yes F., No* For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e.no mechanical overfill prevention <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 caRacity does the alarm trigger? % <br /> !._I 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 /> Li Yes* x No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply)❑Product; Water. If <br /> es,describe causes in Section E,below. <br /> x Yes n 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 manufacturers 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 4 12/07 <br /> 2 2/21/07 <br />