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0 i <br /> It1. Results of Testing/Servicing <br /> Software Version Installed, 3 <br /> Complete the follotivin checklist: <br /> �r_Yos U No-` Is the audible alarmoperational? <br /> Y ❑ No* Is fire visual alarm emtional? <br /> Yes ❑ No* Were all sensors visually inspected,fuuctionall tested,and confirmed operational? <br /> Zr—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 /> Q Yes ❑ No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> WIRIA operational? <br /> Yes Q 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) 3 Sumpffrench Sensors; ❑Dispenser Containment Sensors. <br /> Did you confirm ositive shut-down due to leaks and sensor failureldisconnection? 2-y-e-s; Q No. <br /> Q Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (Le. no <br /> �A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> fill oint(s)and operating pro lv? l£so,at what cent of tank c acity does the alarm tri ger? <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* No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) Q <br /> Product; ❑Water. If yes,describe causes in Section E,below. <br /> Yes Q No* Was mo !2n systezm set- reviewed m ensure pr r settin s?Attach set u re orts,if licable <br /> i t7'Vs Q No* Ls all monitoring equipment operational per manufacturer's specifications? <br /> * In Section E below,describe how and when these deficiencies were or will he corrected. <br /> E. Comments: <br /> Page 2 of 3 v31U1 <br />