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RECEIVED <br /> NOV 19 2014 <br /> D. Results of TestingfSerAcing ENVIRONMENTAL HEALTH <br /> Software Version Installed:—123.0 DEPARTMENT <br /> rC letwe the following checklist: <br /> Com <br /> xYeS =oN is the audible alarm operational? <br /> x Yes L, No* Is the visual alarm operational? <br /> x Yes o No* Were all sensors visually inspected,functionally tested,and confirmed operational?_ <br /> x Yes _7 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?o g.modem)operational? <br /> Yes u NW If alarms are relayed to a remote monitoring station,is all communications equipment(e <br /> x N/Asystem <br /> x Yes 0 NW Fored pressu� <br /> piping systems, does the turbine automatically shut down if the piping secondary containment monitoring <br /> 0 NIA detects a leak,fails to operate,or is electrically disconnected.? If yes:which sensors initiate positive shut-down.? (Check all that apply) <br /> 10 SumpfTrench Sensors; L, Dispenser Containment Sensors. Did you confirm positive Shut-down due to leaks and sensor <br /> failureldisconnection? u,Yes; Li,No. <br /> —o -Yes o No* For tank systems that utilize the monitoring system as the primary tank overfill waming device(i.e.no mechanical overfill prevention <br /> x NIA valve is installed),is the overfiff warning alarm visible and audible at the Wilt N points)and operating property? if so,at what percent <br /> of tank caLacity does the alarm nlgaer? % <br /> _tj-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 arts in Section E,below. <br /> F_cYesi-_ x No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply)D Product; n Water. If <br /> yes,describe causes in Section E,below. <br /> x Yes u No* Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable <br /> x Yes 0 _No* is all monitoring equipment operational per manufacturer's specifications? <br /> In Section E below,describe how and iThen these deficiencies were or will be corrected. <br /> E. Comments: <br /> monitoring System Certification Page 2 of 4 12107 <br /> 2 2/21/07 <br />