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'T <br /> Monitoring System Certitication <br /> Site Address: 110 W.Turner Rd. Date of Testing/Servicing: 1/28108 <br /> D. Results of Testing/Servicing <br /> Software Version Installed: 127.04 <br /> Complete the follo lar checklist: <br /> Feses ❑ No* Is the audible alar o ai? <br /> Q NO* Is the visual alarm o nal? <br /> es ❑ No* Were all sensors visuall ins functionall teste and confirmed o rational? <br /> es ❑ No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment willnot interfere with their r o ion? <br /> es ❑ No' If alarms are relayed to a remote monitoring station, is all communications equipment (e.g, modem) <br /> ® N/A operational? <br /> ❑ Yes ❑ No* For pressurized piping systems,does the turbine automatically shut down if the i in accondary <br /> ® N/A monitoring P P 8 containment <br /> g system detects a leak,fails to operate,or is electrically disconnected? If yes: h sensors initiatepositiveshut-down? (Checkaltthatapply) ❑Sump/Trench Sensors; ❑Dispenser Conent Sensors. <br /> Did you confirm positive shut-down due to leaks A sensor f tiluWdisconnection? ❑Yes; ❑No. <br /> ® Yes Q No* For tank systems that utilize the monitoring system as the <br /> ❑ N/A mechanical overfill prevention valve is install Pny tank over6li warning device (i.e. no <br /> fill sand �,is the overfill war <br /> alarm visible and audible at the tank <br /> ® 1,�* y g If so at what t of tank ' does the alarm er? ???M <br /> ❑ No Was an monitoring equipment replaced? If yes,identify specifre sensors, <br /> and lor other <br /> ist the manufacturer name and model for all lacememt in Section E�be�low. equipment replaced <br /> Q Yes• ® No ®as ligrwd found onside any secondary containment systems designed as dzy systems? (Check all that a <br /> ❑Water. If es,describe causes in Section E,below. PPIY) <br /> ® Yes Q No* Was monitori stem set reviewed to ensirre <br /> Yessettm ?E3 monitoring Equipment o onal <br /> manufacturer's xMincations, <br /> •Iia Section E below,describe Gorr and when these deficiencies were or will be corrected. <br /> E.Comments: <br /> TLS-300 WAS REPLACED WITH A TLS-350 PLUS <br /> L3-NORTH SUMP_TANK GAUGE—744380-208 <br /> L4 PIPING TRENCH—794340-420 <br /> Page 2 of 3 <br /> i <br /> i <br />