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L L <br /> JUN 01 2016 <br /> D. Results of Testing/Servicing ►" ���� <br /> Software Version Installed: 333.05 <br /> Complete the following checklist: <br /> >t] Yes ❑ No* Is the audible alarm operational? <br /> ki Yes ❑ No* Is the visual alarm operational? <br /> jl Yes ❑ No` Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> k7 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 /> kl Yes ❑ No* If alarms are relayed to a remote monitoring station,is all communications equipment(e.g.modem)operational? <br /> ❑ N/A <br /> k] Yes ❑ 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 /> dE]Sump/Trench Sensors; El Dispenser Containment Sensors. Did you confirm positive shut-down due to leaks and sensor <br /> failure/disconnection? ®Yes; ONO. <br /> ❑ Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e. no mechanical overfill prevention <br /> x❑ 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? % <br /> 91 Yes* ❑ 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* )G No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply)®Product; ®Water. If <br /> es,describe causes in Section E,below. <br /> Ki Yes ❑ No* Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable <br /> ,Llrl Yes ❑ 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 /> Monitoring System Certification Page of 12/07 <br />