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Shields, Harper & Co . <br /> D. Results of Testing/Servicing ) <br /> Software Version Installed: / <br /> Com _--e-the foliowin checklist; <br /> CJ'te. ❑ No* Is the audible alarm o emtionaP <br /> es ❑ No* Is the visual alarm operational? <br /> es ❑ No* Were all sensors visually inspected, functionally tested, and confirmed operational? <br /> lees ❑ 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 /> ❑ Yes ❑ N * If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> 1/A operational? <br /> des ❑ No For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br /> ❑ NIA 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 /> El--WA mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> fill point(s)and operating pro erl ? If so,at what jpercent of tank capacitympacity does the alarm trigger? % <br /> ❑ Yes* 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* Was liquid found inside any secondary containment systems designed as dry systems? <br /> (Check all that apply) ❑ Product ❑ Water. If yes,describe causes in Section E,below. <br /> 0 No Was monitoring system set-up reviewed to ensure proper settings?Attach set up repoits,if UTlicable <br /> es ❑ No* Is all monitorm' a ui ment o erational r manufacturer'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 4 03101 <br />