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U <br />Moltitoring System Certificatioll <br />D. litesults ofTesting/Servieing <br />Sofiwate Version Installed: <br />t; <br />, 10 1'i <br />Com fete <br />the followW, <br />checklist; ENVIRONMENTAL LT <br />Yes <br />❑ No* <br />Is the audible alarm operationar? <br />Yes <br />C7 No* <br />is the visual alarm operational? <br />Yes <br />❑ No* <br />Were all sensors visually inspected. functionally tested, and confirmed operational? <br />Yes <br />❑ No* <br />Were all sensory installed at lowest point of secondary containment and positioned so that other equipment will <br />not interfere with their proper operation? <br />"Yes <br />/I <br />❑ No* <br />❑ N!A <br />if alarms are relayed to a remote monitoring station, is all communications equipment (e.g.. modem) <br />operational? <br />es <br />❑ No* <br />❑ N/A <br />For pressurized piping systems. does the turbine automatically shut down if the piping secondary containment <br />monitoring system detects a leak. fails to <br />operate, or is electrically disconnected? If yes: which sensors initiate <br />Positive shut -dawn`? (C'hec'k all that nppty) ❑ Sump/Trench Sensors; ❑ Dispenser Containment Sensors. <br />Did you confirm positive shut -down due to leaks and sensor failureldisconnection? Q Yes; ❑ No. <br />Yes <br />Cl No* <br />❑ NIA <br />For tank systems that utilize the monitoringsystem as the primary tank overfill warning device (i.e., no <br />mechanical overfill prevention valve is installed}, is the overfill warning alarm visible and audible at the tank <br />❑ Yes* <br />fill Point(s) and operating properly? if so. at what percent of tank capacity does the alarm trigger? <br />1-4,No <br />Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced <br />and list the manufacturer name and model for all replacement in Section <br />❑ Yes* <br />U .No <br />parts E, below. <br />Was liquid found inside any secondary containment systems designed as dry systems? Wheek all that apply) <br />Product: ❑ Water. If yes, describe causes in Section E. below. <br />Yes <br />Yes <br />❑ No* <br />Was ntonitorin ,' s stem set-up reviewed to ensure' roper settings? Attach setup reports, if applicable <br />❑ NO <br />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 />Nage 2 of 3 <br />