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:-40,6re Version Installed: o <br /> f' -AL <br /> o 1plete the following checklist: <br /> 1 Yes ❑ No:1 is the autlibfe alarm o erational? <br /> 10 Yes ❑ No* fs the visual alarm operational? <br /> a Yes ❑ No* Were all sensors visually inspected,functionally tested,and confirmed o erational? <br /> +a Yes ❑ 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 ❑ No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.a. modern) <br /> I5D N/A operational? <br /> Yvs ❑ 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 apph) lig Sump/Trench Sensors, 1l Dispenser Containment Sensors. <br /> Did ou confirm Positive shut-down due to leaks and sensor failure/disconnection? I Yes, ❑No. <br /> Yes L7 Noy' For tank systems that utilize the monitoring'system as the primary tank overfill warning device (i.e. no <br /> a N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> rfA �f� fill point(o) and operating properly? If so, at what percent of tank capacity does the alarm trigger" <br /> /o <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 replacement Darts in Section E,below. <br /> J Yes* it 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 /> :4 Yes ❑ No* Was monitor-- stem-et-up reviewed to ensure poper settings?Attach set UP reports. if applirnhip <br /> Yes ❑ No* Is all monitorin equipment oerational per manufacturer's specifications? <br /> In Section E below,describe how and +yhen these deficiencies were or will be corrected. <br /> E. Comments- / !✓/ r irr� <br /> Page 2 ora <br /> 03101 <br />