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A. Results of Testing/Servicing <br /> Software Version installed: 16.05 <br /> Cum letc the rolInwing checklist: - <br /> (x yes U No* is the audible alarm operational? <br /> X Yes ❑ NOR, is the visual alarm o erational? <br /> x Yes ❑ No` Were all sensors visually inspected,functional) tested, and confirmed n erational? <br /> (x)Yes U No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will <br /> not interfere with their ro er o eration7 <br /> (X)Yes ( )No* If alarms are relayed to a remote monitoring station, is ail communications equipment (e.g. modem) <br /> ( )N/A operational? <br /> (x)Yes ( )No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br /> ( )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) [E Sump/Trench Sensors; Q Dispenser Containment Sensors. <br /> Did you confirm jositive shut-down due to leaks and sensor failureldisconnection? 0 Yes; ❑No. <br /> (x)Yes ( )No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br /> N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> fill oint(s and operating ro erly? If so,at what percent of tank capacity doesthe alarm Wn er? 0 <br /> ( <br /> )Yes' (x)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 replacement parts in Section G,below. <br /> ( )Yes* ( )NO Was liquid found inside any secondary containment systems designed as dry systema? (Check all that apply) ❑ <br /> Product; U Water. if es,describe causes in Section H, below. <br /> (x yes d No* Was monitorin s stem set-u reviewed to ensure ro er settin s? Attach set a reports, if applicable <br /> x Yes U No* I is all monitoring equipment Oerational er manufacturer's s ecirications? <br /> In Section—F, below,describe how and when these deficiencies were or will be corrected, <br /> E. Comments; <br /> NmdtorinKABY <br /> oom Certilitatinn Page U3 12/07 <br />