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6ErnE0-RYAN Imc. GR Job# 17202518 <br /> D. Results of Testing/Servicing <br /> Software Version Installed: 333.05 <br /> !j a ' <br /> Complete the following checklist: <br /> Yes o Is the audible alarm operational? <br /> Yes No" Is the visual alarm operational? <br /> ig Yes ® No' Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> Yes ® No' 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 /> 1Z Yes ❑ No- If alarms are relayed to a remote monitoring station,is all communication equipment(e.g.modem)operational? <br /> ® N/A <br /> Yes [3 No' For pressurized piping systems,does the turbine automatically shut down if the piping secondary containment monitoring system <br /> ® N/A 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 Sensor, 1Z Dispenser Containment Sensor.Did you confirm positive shut-down due to leaks and sensor <br /> failureldisconnection? IX Yes; Q No. <br /> (g Yes ® No' For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e.no mechanical overfill prevention <br /> ® N/A 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? -_--10_% <br /> Yes 1Z No 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 /> ® Yes [Z No Was liquid found inside any secondary containment systems designed as dry systems?(Check all that apply) Product []Water. If <br /> yes,describe causes in Section E,below. <br /> (g Yes ® No' Was monitoring system set-up reviewed to insure proper settings?Attach set-up reports,if applicable. <br /> IX Yes 1® No` Is all monitoring equipment operational per manufacture'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 12107 <br /> 1 <br />