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aan 23 06 08:13p Mig Rotten 2033-2650 p.2 <br />Pacility: Madsen Page 2 <br />D. Results of Testing/Servicing: <br />N/A Software Version Installed NONE <br />® Yes <br />❑ No* <br />Is the audible alarm operational? ❑ Deafening? Outside Alarm <br />® Yes <br />❑ No* <br />Is the visual alarm operational? <br />❑ Yes <br />LJ No* <br />Is the print function operational? N Not installed. <br />® Yes <br />❑ No* <br />Were all sensors visually inspected, functionally tested, and confirmed operational? <br />N Yes <br />❑ No* <br />Were all sensors installed at lowest point of secondary containment and positioned so that other equipment <br />will not interfere with their proper operation? <br />❑ Yes <br />❑ No* <br />If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br />N NIA <br />i operational? <br />❑ Yes <br />❑ No* <br />For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br />® N/A <br />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) ❑ Sump/Trencb Sensors; ❑ Dispenser Containment Sensors. <br />Did you confirm positive shut -down due to leaks and sensor failure/disconnection? ❑ Yes; ❑ No. <br />❑ Yes <br />❑ No* <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e.. no <br />® N/A <br />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? <br />❑ Yes* <br />® No <br />Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment <br />re laced and list the manufacturer name and model for all replacement parts in Section E, below. <br />❑ Yes* <br />® No <br />Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) <br />❑ Product; ❑ Water. If es, describe causes in Section E, below. <br />N Yes <br />❑ No* <br />Was monitoringsystem set-upreviewed to ensure proper settings? Attach set u reports, if applicable <br />® Yes <br />❑ No* <br />Is all monitoring equipment oerational per manufacturer's specifications? <br />* In Section E below, describe how and when these deficiencies were or will be corrected. <br />E. Comments: No deficiencies. Fillspill containment tested and passed with Ineon Sump Tester. <br />