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D. Results of Testing/Servicing <br />Software Version Installed: 127.04 <br />Complete the followina checklist: <br />O Yes <br />❑ No* <br />Is the audible alarm operational? <br />O Yes <br />❑ 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 sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their <br />ro er o ration? <br />191 Yes <br />❑ No* <br />if alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) operational? <br />❑ N/A <br />❑Yes <br />❑ No* <br />For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment monitoring system <br />© N/A <br />detects a leak, fails 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 <br />❑ No* <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no mechanical overfill prevention <br />© N/A <br />valve is installed), is the overfill warning alarm visible and audible at the tank fill point(s) and operating properly? If so, at what percent <br />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 and list the <br />manufacturer name and model for all re lacemen4 parts in Section E, below. <br />❑ Yes* <br />® No <br />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 />® Yes <br />❑ No* <br />Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if applicable <br />O Yes <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 />Comments: <br />Drop Tube with Flapper. <br />(U) 794380-208 — South Sump <br />(1-3) 794380-208 — North Sump <br />(1-4) 794390-420 — Gen. Room Trench Sensor <br />Monitoring System Certification Page 2 of 4 12/07 <br />2/21/07 <br />