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A Results of Testing/Servicing <br /> Software Version Installed_ <br /> Ocoiete the followin checklist: <br /> ❑ No* Is the audible alarm o erational? <br /> D No* is the visual alarm o erational?❑ No* Were all sensors visually ins eted,functional) tested,and confirmed o rational? <br /> ZEf D No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will <br /> not interfere with their pwTer operation? <br /> Q Yes ❑ o* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> fU NIA operational? <br /> Yes ❑ 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 ope,_ra�'or is electrically disconnected? if yes: which sensors initiate <br /> positive shut-down? (Check all that apply) E�Sump/Trench Sensors; ❑Dispenser Ccotinment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? ffYYes; ❑No. <br /> Yes D No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br /> ❑ NIA 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 tank capacity does the alarm trigger? J % <br /> ❑ Yes* No Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced <br /> and list the manufacturer time and model for all replacement 2arts in Section E,below. <br /> Yes* ❑ No Was liquid found inside any secondary containment systems designed as dry systems? (Cheek all that apply)D <br /> Product; ❑ Water. If yes,describe causes in Section E,below. <br /> JCes Cl No* Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable <br /> lr Yes 53—N-0 Is all monitorin mento erational er manufacturer's s cifications? <br /> * In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments.- 2` jjj iQ= Y' 16r 31 <br /> Page 2 of 3 03AM <br />