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AUG 5 2016 <br /> D. Results of Testing/Servicing <br /> Software Version Installed: 16.05 <br /> Complete the following checklist: <br /> ✓ Yes No' Is the audible alarm operational? <br /> Q Yes ® No' Is the visual alarm operational? <br /> ✓ Yes No' Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> �✓ Yes 171 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 /> Q Yes No` If alarms are relayed to a remote monitoring station,is all communications equipment(e.g.modem)operational? <br /> N/A <br /> Yes No- For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment monitoring system <br /> e NIA detects a leak,tails 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 /> Yes ® No' For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e. no mechanical overfill prevention <br /> N/A valve is installed),is the overfill warning alarm visible and audible at the tank till point(s)and operating properly? If so,at what percent <br /> of tank capacity does the alarm trigger? 90 % <br /> ❑ Yes' Q 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 /> ® Yes" Q 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 /> EYes No' Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable <br /> YNo" is ail monitoring equipment operational per manufacturer's specifications? <br /> AM- <br /> "In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: <br /> Made visual verification of overfill valve in drop tube. <br /> Also tested and verified vault sensor(794380-320 ) and polisher sensor(794380-320) <br /> All sensors tested good <br /> Monitoring System Certification Page 2 of 4 12107 <br /> 2 2/21/07 <br />