Laserfiche WebLink
Aug-31-04 04:53pm From-Gettler-VInc +9166311317 0 T-357 P 003/009 F-269 <br /> .Ite.:Address= l!ja 1L f{ / Date of,l<esting!$ervicrulp <br /> Ik Result's of Testitig/Servicing <br /> Software Version Installed: — /��✓� �, <br /> Com letrthcfeHo ' :checklists <br /> ❑ Yes No* Is the audible.alarrim operational? <br /> ❑ Yes o* Is the visual alarm rational? WA <br /> Yes.., Q- No{ Werc atYscnsorsrvisuali ins ected,functionally,tested,and confirmed operational? <br /> Xes ❑ No* Were all sensors-installed:at lowest point of secondary containment.andpositioned so.tha ,otheregnipmenr will <br /> not interfere with their proper operation? <br /> 13 Yes Q No* If alarms are relayed to a remote monitoring,station,is all communications equipment(e.g.modem)' <br /> B�N/A operational? <br /> ❑ Yes 4 No* Forpressurizedpiping,systems,doestheturbineautomaticallpshurclown ifthe:pipingsecondary.containment <br /> Crl�/A moniivring system detects a leak,fails to operate,or is electrically disconnected? if yes:, whieibsensorsinitiate <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, 17 No. <br /> ❑ Yes 0 No* For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e. no <br /> la 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 rl ? If so,at what percent of tank 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 replacement parts in Section E, below. <br /> ❑ Yes* ET No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply)❑ <br /> Product; El Water. If yes.describe causes in Section E,below. <br /> Yes ❑ Nc,* Was itioni Loring s stem set-up reviewed to ensure proper settings?Attach setup reports,if applicable <br /> IL U Yes ❑ No* Is all monitoring equipment oerational per manufacturer's s ecifrcations? <br /> In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: Al( Ll �2nSeQr• JAIIO� J. 1 <br /> rt Ci0/-- 'n (arrarl�y. S4','7 � do, � ta. <br /> t yyP YL t lr ! � S6`L ✓ or�r t row{S t"� Ba O 5017 Fi <br /> L _? , /( "'),thFrr�y)elf—, eaiaae-ll <br /> SkM1dLTI ,Oe <br /> kJ9�!n �apin' - 02�".- fj <br /> n,r t/rSrfc.� aaf r..-.f <br /> Page 2 of 3 osroo <br />