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1 <br />Monitoring SVstcm Certiflcatiotl <br />D. Results of Testing/Servicing <br />Software Version Installed: <br />Com late the followin checklist• <br />"I 1MO4 <br />Yes <br />❑ No* <br />Is the audible alarm operational? <br />Yes <br />El No* <br />Is the visual alarm operational? <br />Yes <br />U❑ <br />p No* <br />ere all ensors visually <br />Wsinspected. functionally tested, and confirmed operational? <br />Yes <br />No* <br />Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will <br />not interfere with their proper operation`? <br />es <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 />For pressurized piping; systems. does the turbine automatically shut down if the piping secondary containment <br />es <br />Q No* <br />❑ N!A <br />monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate <br />Positive shut -down". (Check all thett applO ❑ Sump/Trench Sensors; ❑ Dispenser Containment Sensors. <br />-EY — <br />Did you confirm positive shut -down due to leaks and sensor failure/disconnection? ❑ Yes; ❑ No. <br />es <br />❑ No* <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e., no <br />0 N/A <br />mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br />till points) and operating properly? I f so. at what percent of tank capacity does the alarm trigger? <br />❑ Yes* <br />_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 parts in Section E. below. <br />p Yes* <br />Q,No <br />Jim, <br />Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) <br />Q Product: ❑ Water. If Yes. describe causes in Section E. below. <br />Yes <br />❑ No* <br />Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if applicable <br />Yes <br />O 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 />Page 2 or 3 <br />