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Monitoring System Certification 0 <br />11111111111111111 OR ilillil',I� <br />Software Version Installed: 127.04 <br />Complete the following checklist: <br />E <br />® Yes <br />U No* <br />Is the audible alarm o2erational? <br />IM Yes <br />U No* <br />Is the visual alarm operational,.? <br />IM Yes <br />U No* <br />Were all sensors visually inspected, functionally tested, and confirmed operational? <br />0 Yes <br />U 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 />El Yes <br />Ll No* <br />If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br />0 N/A <br />operational? <br />0 Yes <br />Ll No* <br />For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br />L) 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 that apply) EM Sump/Trench Sensors; 21 Dispenser Containment Sensors. <br />Did you confirm positive shut -down due to leaks and sensor failure/disconnection? El Yes; Ll No. <br />M Yes <br />U No* <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br />Ll N/A <br />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? 95% <br />U Yes* <br />0 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 re lacement parts in Section E, below. <br />0 No <br />Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) U <br />Product; 0 Water. If yes, describe causes in Section E, below. <br />0 Yes <br />U No* <br />Was monj!2E!R& systern set-up reviewed to ensure pE2per settings? Attach set up reports, if applicable <br />no <br />❑I <br />Is all M2nitorin equ!pmento perational per manufacturer's s2ecifications? <br />* In Section E below, describe how and when these deficiencies were or will be corrected. <br />E. Comments: <br />-F-wr Grun <br />Page 2 of 3 03/01 <br />