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11/05/2009 THU 8: 48 FAX 9163861256 A Teichert & Son Inc 2002/004 <br /> 410/28/2009 14:28 66139 .3 CHUCK HILL PAGE 02/04 <br /> Monitoring System Certification � <br /> D. Results of Testing/Servicing <br /> Software Version Installed: <br /> Coen tete the feliowin checklist: <br /> M Yes ® Noy` is the audible alarm o erational? <br /> E7 Ycs ❑ No* is the visual alarm o erational7 <br /> t�Y� Na* Were all sensors visuall ins cted,fuuctionall tested and confirmed operational? <br /> W Yes Cl No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will <br /> not interfere with their ro r o ration? <br /> ❑ Yes CI No If alarms are relayed to a remote monitoring station, is all cominunications equipment (e.g. modem) <br /> C1i1 N/A operational? <br /> ®Yes -5-N * For pressurized piping systems,docs the turbine automatically shut down if the piping secondary containment <br /> ❑ NIA monitoring system detects a leak,fails to operate,oris electrically disconnected? if yes: which sensors initiate <br /> positive shut-down? (Check all that apply) C]Sutnp/Trench Sensors;IM Dispenser Containment Sensors. <br /> Did you confirm ositive shut-down due to leaks and sensor failure/disconnection? C]Yes- Cl No. <br /> ®Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill 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 oin s and o Gratin ro erl ? if so,at what percent of tank c aci does the alarm tri mer? 94% <br /> Q Yes* -r-No Was any monitoring equipment replaced? If yes, identity specific sensors,probes,or other equipment replaced <br /> and list the manufacturer name and model for all replacement Darts in Section.B,below. <br /> 1Xes* G No Was liquid found inside any secondary containment systems designed as d `s stems? Check all that apply) <br /> 13Produ ®Water. If ,describe causes in Section E,below. <br /> Yes Q No* Was rnonitorin s stem set-up reviewed to ensure-proper settings?Attach set.up reports if a lieable <br /> 0 Yes ® No* is all monitorin a ui mento erationai per nnanufacturer's specifications? <br /> In Section lEr below,describe how and when these deficiencies were or will be corrected. <br /> C. Comments: se I su ha water 1 Wa r was- ye hewe_. <br /> trN_Q3r,_214 Page 2 of 4 Rev.06/04/81 <br /> www.aoidoes.org <br />