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D. Results of Testing/Servicing <br /> Software Version Installed: 421,00 <br /> Com Tete the following checklist: <br /> Im Yes ❑ No* Is the audible alarm operational?[10 I <br /> i <br /> Yes ❑ No* Is the visual alarm o rational? <br /> m Yes ❑ No* Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> Z Yes ❑ No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will <br /> not interfere with their ro eroperation? ' <br /> 0 Yes ❑ No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modern) <br /> ❑ N/A operational? <br /> ❑ Yes ❑ No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br /> M3 N/A 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/Trench Sensors; ❑Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? ❑ Yes; ❑No. <br /> ❑ Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br /> 21 N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> Fill point(s)and operating ro erl ? If so,at what percent of tank capacity does the alarm trigger? 90 <br /> ❑ Yes* © No 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 re lacement parts in Section E,below. <br /> ❑ Yes* ® 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 1 ,below. <br /> 12 Yes ❑ No* Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable <br /> ® Yes 1 D No* i Is all monitarin equi meat operational per manufacturer's s ecifications? <br /> * In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments:_The UST Spill Bucket Failed And will need to be replaced and tested with a Cupa inspector present. <br /> i <br /> i <br /> Page 2 of 3 03101 <br />