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Monitoring System Certification <br /> D. Results of Testing/Servicing <br /> Software Version Installed: 16.02 <br /> Com fete the follow ng_checklist: <br /> Yes F1 No* Is the audible alarm operational? <br /> Yes [5 No* Is the visual alarm operational? d confirmed operational? <br /> Yes -5 No* Were all sensors visually inspected,functionally tested,an - <br /> Yes El 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? station, is all communications equipment (e.g., modem) <br /> n Yes F1 No* If alarms are relayed to a remote monitoring <br /> 9 N/A operational? <br /> 0 Yes [71 No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br /> El N/A 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) 0 Sump/Trench Sensors; 0 Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? 0 Yes; El No. <br /> 0 Yes El No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e., no <br /> [I 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? 90% <br /> c <br /> Dispenser <br /> ct <br /> p <br /> te <br /> e <br /> j <br /> overfill <br /> 0 <br /> e <br /> d <br /> n <br /> ve <br /> p <br /> ve <br /> i <br /> e <br /> piping <br /> I <br /> r <br /> If <br /> sl <br /> a <br /> C <br /> g <br /> yes: <br /> Yes; <br /> Containment <br /> e <br /> w <br /> visible I <br /> e <br /> sc <br /> w <br /> d0 <br /> h <br /> m <br /> i <br /> a <br /> g <br /> d <br /> ch <br /> e <br /> secondary <br /> N <br /> g <br /> audible device s <br /> t <br /> e <br /> jb <br /> 0 <br /> S <br /> v <br /> th 9 c <br /> ns e <br /> in <br /> le <br /> the <br /> 9 <br /> ta <br /> an <br /> s <br /> c <br /> 0 <br /> 0 <br /> Sensors. <br /> containment <br /> El <br /> warning e <br /> at <br /> 0 <br /> alarm <br /> ren / <br /> s <br /> t <br /> s <br /> 0 <br /> a <br /> r <br /> m <br /> In <br /> s. <br /> in <br /> en <br /> ate <br /> t <br /> .e no <br /> tank <br /> he <br /> 0 <br /> a Atn <br /> 0 <br /> j <br /> F1 Yes* No Was any monitoring equipment replaced? If yes, identify specific sensors,probes,or other equipment replaced <br /> be <br /> and list the manufacturer name and model for all replacement parts in Section E,below. <br /> t p <br /> p <br /> y <br /> a <br /> F1 Yes* -No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) <br /> []Product; 0 Water. If yes,describe causes in Section E,below. <br /> --777-7----------------:-'= settings?Attach set up reports,if applicable <br /> I Zj Yes S 0 No* Was monitoring system set-up reviewed to ensure proper sett_ <br /> Yes 0 N Is all monitorin a ui mento erational Per manufacturer's s ecifications? <br /> In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: Left Set-Up printout&Alarm History with Michelle Henry on site @ day of test. <br /> Page 2 of 4 <br />