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11 <br />D. Results of Testing/Servicing <br />Software Version Installed: <br />I. �.•....I..s.. al.w iwliw...:.... wL.ww Ll:c.!'• <br />F( Yes <br />_ No* <br />Is the audible alarm operational? <br />Z Yes <br />_ No* <br />Is the visual alarm operational? <br />r Yes <br />No* <br />Were all sensors visually inspected, functionally tested, and confirmed operational? <br />L 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 />proper operation? <br />Yes <br />No* <br />If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) operational? <br />LvI N/A <br />Yes <br />II No* <br />For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment monitoring system <br />E, 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; CI No. <br />iJ Yes <br />❑I 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 ca aci does the alarm trigger? % <br />II Yes* <br />v 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 replacement parts in Section E, below. <br />r111 <br />Yes* <br />u+ No <br />Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) I-, Product; .- Water. If <br />es, describe causes in Section E, below. <br />Yes <br />L-1, No* <br />Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if applicable <br />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 />E. Comments: <br />Monitoring System Certification Page 2 of 4 <br />12107 <br />2 2/21/07 <br />