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D. Results of Testing/Servicing Software Version Installed: 329.01 Complete the followingchecklist: ® Yes ❑ No' Is the audible alarm o erational? ® Yes ❑ Nom Is the visual alarm operational? i ® Yes ❑ No' Were all sensors visually Inspected, functionally tested, and confirmed operational? ® Yes ❑ No' Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? ❑ Yes ❑ No' If alarms are relayed to a remote monitoring station, is all communications equipment (e.g., madam) operational? N N/A * Yes ❑ No' For pressurized piping systems, does the turbine automatically shut down If the piping secondary containment monitoring system detects a leak, Q WA fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut-down? (Check all that apply) ® Sumpffrench Sensors; M Dispenser Containment Sensors, j Did you confirm positive shut-down due to leaks and sensor fallureldisconnection? 0 Yes; ❑ No. 11 ❑ Yes ❑ No' For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. , no mechanical overfll prevention valve is ® N/A installed), is the overfill warning alarm visible and audible at the tank fill point(s) and operating property? If so, at what percent of tank capacity does the alarm trigger? % ❑ Yes ® No Was any monitoring equipment replaced? If yes, Identify specific sensors, probes, or other equipment replaced and list the manufacturer name and model for all replacement parts in Section E, below. ❑ Yes' ® No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) ❑ Product; ❑ Water. If yes, describe causes In Section E, below. ® Yes ❑ No' Was monitoring system setup reviewed to ensure proper settings? Attach set up reports, if applicable ® Yes ❑ No` Is all monitoring equipment operational per manufacturer's specifications? In Section E below, describe how and when these deficiencies ware or will be corrected. i { E, Comments: j I i f i Monitoring System Certification Page 2 of 4 2/21 /07