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Resu of Tesling/Servicing <br />Software Version Installed: 12, <br />• <br /> <br />'liii, fling' IL flCI• <br /> <br />.4...•,• X .FAX:XX. <br />rli )'L <br />ik.•••.. <br />U No <br />- - . — . .... . . .. . .. .. . .. <br />Is the audible alarm opetational? <br />- <br />'es LI No* Is the visual alarm operational? <br />I21"Yes 0 tio,-- Were all sensors visually inspected, functionally tested, and confirmed operational? <br />0 Yes g'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? <br />CI Yes Lu:31)1.04' If alarms are telnyed to a 'emote monitoring station, is all communications equipment (e.g. modem) <br />operational? <br />U Yes U6 No* <br />El N/A <br />For pressurized piping systems. (hies the tot hi tie automatically shut down if the piping secondary containment <br />monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate <br />positive shut-down? (f 'heck all that apply) U Sumpfl'rench Sensors; U Dispenser Containment Sensors. <br />Did you confirm positive shut-down due to leaks and sensor failure/disconnection? U Yes; 0 No. <br />CI Yes LI For 1_1 9, <br />' NM <br />_ <br />tank system us that utiliZe the numitt ring system as ihe primary innk overfill warning device (i.e. no <br />mechanical ii Vet fill pieventkin valve is installed). is the um fill warning alarm visible nod audible at the tank <br />If of tank capacity does the alarm trigger? % <br />fill ptiint(s) and °pet ating inopcily1 so, at wItat percent <br />0 Yes* Ee'-git Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced <br />and list the manufacturer name and model for all replacement parts in Section E, below. <br />Yes* U No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) 0 <br />Product; 0 Water. If yes, describe causes in Section E, below. <br />0 Yes U No* Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if applicable <br />0 Yes 0 No* Is all monitoring equipment operational per manufacturer's specifications? <br />— • ••• • . ... •._ A <br />* In Section E below, describe how and when these c ciencies were or Will . <br />Comments: kit-t-i".6r <br /> <br /> if I <br />f _5or <br />44.7 R P kni f 94P c PP 5 kae,./ 114) 4 <br />re)7 op •ae-- Ate a_14 a-41 ts <el- cid yr) 1./ <br />/-0-7 <br />_,Th z!_± <-09 yo GI; ceep.t. ktiip 5 f4 4.),49( ea, t-- J 17e1----17 <br />T I Y---T 2- 5.7-0-7 tr, ot a <br />J/ ; . <br />s ea .1 ‘41: // <br />1,0H 0 e- 'e 5 <br />t- 7 -1,7 e <br />Page 4 of 6 <br /> 03/01