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D. Results of Testing/Servicing • RECEIVED <br /> Software Version Installed: 421.00 DEC 8pp2015 <br /> Complete the followinchecklist: ENVIRONMENTAL <br /> 0 Yes ❑ No* Is the audible alarm o -rational? <br /> 0 Yes ❑ No* Is the visual alann o -rational? <br /> 0 Yes ❑ No* Were all sensors visually inspected,functional) tested,and confinp <br /> o erational? <br /> ❑O Yes ❑ No* Were all sensors installed at lowest point of secondary containmpositioned so that other equipment will <br /> not interfere with their proper operation? <br /> 0 Yes ❑ No* If alarms are relayed to a remote monitoring station, is amunications equipment (e.g. modem) <br /> ❑ N/A operational? <br /> ❑ Yes ❑ No* For pressurized piping systems, does the turbine automatically swn if the piping secondary containment <br /> ❑D N/A monitoring system detects a leak, fails to operate, or is electricalonnected? If yes: which sensors initiate <br /> positive shut-down? (Check all that apply) ❑ Sump/Trench Sen ❑Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failuronnection? ❑Yes; ❑No. <br /> ❑ Yes ❑ No* For tank systems that utilize the monitoring system as the ptank overfill waming device (i.e. no0 N/A mechanical overfill prevention valve is installed), is the overfill ng alarm visible and audible at the tankfill oint(s)and o eratin ro erl ? If so,at what ercent of tanki does the alarm tri er? 90❑ Yes* 0 No Was any monitoring equipment replaced? If yes, identify specifiors,probes, or other equipment replaced <br /> and list the manufacturer name and model for all replacement arts in Section E, below. <br /> ❑ Yes* 0 No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) ❑ <br /> Product; ❑Water. If yes,describe causes in Section E,below. <br /> O Yes ❑ No* Was monitorin s stem set-up reviewed to ensure proper settings?Attach set up reports, if applicable <br /> O Yes ❑ No* Is all monitoring equi ment operation 3er manufacturer's s ecifications? <br /> * In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: <br /> Page 2 of 3 03/01 <br />