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Software Version installed.- <br /> Com <br /> nstalled.C'om Acte the following checklist: <br /> lel Yes ❑ No'k Is the audible alarm o erational' <br /> A Yes U No* Is the visual alarni o erational? <br /> ® Yes Q No' Were all sensors visually inspected, functionally tested,and confirmed o erational? <br /> J Yes ❑ No* Were all sensors installed at lowest point of secondary containment and positioned so that tlter equipment will <br /> not interfere with their ro er o eration? <br /> ❑ Yes ❑ No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> ® N/A operational? <br /> ia Yes ❑ No* For pressurized piping systems, does the turbine automatically shut down if thep i inq <br /> Ll N/A monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes:which en oecondaryrrsninitiate <br /> Positive shut-down? (Check all that appl}) 0 Sump/Trench Sensors; ❑ Dispenser Containment Sensors. <br /> Did you confirm Positive shut-dawn due to leaks and sensor failure/disconnection? Q Yes. L3 No. <br /> Yes Q No* For tank systems that utilize the monitor <br /> ing system as the primary tank overfill warning device (i.e. no <br /> 0 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 properly? If so% , at what.percent of taatk capacity does the alarm trigger? <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 lacemenI arts in section b below. <br /> ❑ Yes A` ® No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that <br /> Q Product; ❑ Water. If es, describe causes in Section E. below. apply) <br /> Yes ❑ No* Was monitorin s stem set-u reviewed to ensure ro Der settings?Attach set it reports, if a licable <br /> Yes ❑ No* Is a[1 monitorin aqui mento erational er manufacturer's s eeifications? <br /> * In Section L below,describe how and when these deficiencies were or will be corrected. <br /> E. CORInients: <br /> Page 2(A3 <br /> - _ 03/01 <br />