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D, Results of TestiugfServicing <br />Software Version lnstatled', <br />Comolete the Mowine checklist: <br />- <br />D Ivo* <br />Is the audible, alarm rational? <br />N;ls <br />*is <br />the visual alarm o ional? <br />❑ N o= <br />Were all sensors visualiy inspected, ftmcti)mIly tested, and conflumed o rational? <br />D Nom <br />Fere all sensors installed at lowest point of secondary containment and positioned so that other equipment will <br />es <br />not interfere with their proper o era'don! <br />Q es <br />Q No'? <br />If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br />❑ N1A <br />operational? <br />'es <br />Q No- <br />For pressurized piping sy�steras, does tfie turbine automatically shut down if the piping secondary containment <br />Q WA <br />ed? if yes: winch sensors initiate <br />monitodtre system detects a leak, fails to operate, Or is electrically disTDispenser <br />positive shut -down? (Check all then apply) D Sumplfreneh Sensors; Containment Sensors. <br />Did you confirm positive shut -down doe to leaks and sensor fail ion? ' es; D No. <br />es <br />❑ No* <br />For tank systems that utilize the monitoring system as the primary rank overflll roaming device (i.e. no <br />Q NIA <br />mechanical ovesfrU prevention valve is installed), is the overfill waming alarm visible and audible a tank <br />fill pointjs) and o erating properly? If so, at what percent of tank capacity does the alarm tri er? % <br />D Yes'- <br />o <br />Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other cquiprrreni replaced <br />and list the manufacturer name and model for all replacement, parts in Section E, below. <br />es <br />D No <br />Was liquid found inside any secondary containment systeaus designed as dry systems? (Check all that apply) ❑ <br />Product; fl W arra. Zf yes, descc�be causes is Section E, below. <br />wes <br />❑ No* <br />Was monitoring system set-up reviewed to ensure proper settings? Attach set up re oris, if applicable <br />i <br />es-10 <br />Now <br />Is all monirorinLiLuipmmioperational a manufacturer'sspecifications? ::j <br />* In SccUoa E below, describe how and when these deficiencies were or will t>e correctea, <br />E. Comments: <br />Page 2 of 3 03101 <br />