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0 <br /> Monitoring System Certification-Page 2 of 3 <br /> Site Address: 6633 Pacific Ave Date of Testing/Servicing: 11/22108 <br /> D. Results of Testing/Servicing <br /> Software Version Installed- <br /> CoAfplete the foliowin checklist: <br /> es ❑ No* Is the audible alarm operational? <br /> s O No* Is the visual alarm operational? <br /> s ❑ No* Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> Ef Yes ❑ No* 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 /> ❑ Yes ❑ Xo* If alarms are relayed tc 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 piping secondary containment <br /> ❑ N/A monitoring system detects a leak, fans to operate r is electrically disconne ? If yes: which sensors initiate <br /> positive shut-down? (Check all that apply) Sump/Trench Sensors; Dispenser Cont ' ent Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? es ❑No <br /> ❑ Yes o* For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e.no <br /> N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> fill point(s)and operating properly? If so,at what percent of tank capacity does the alarm trigger? % <br /> ❑ Yes* No 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 /> ❑Yes* 0 No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) <br /> ❑ Product;❑ Water. If yes,describe causes in Section E,below. <br /> s ❑ No* Was monitoring system set-up reviewed to ensure proper settings? Attach set-up reports, i a licable. <br /> es ❑ No* 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 />