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~ D. -Results of Testing/Servicing • • <br /> Software Version Installed:V ©s05 <br /> Con2 checklist: <br /> 18 Yes Cl No* Is the audible alarm operational? <br /> - Yes ❑ No* Is the visual alarm operational? <br /> Yes ❑ No* Were all sensors visual) ins ected, functional) tested,and confirmed o erational? <br /> It Yes ❑ No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will <br /> not interfere with their pro2er operation? <br /> ❑ Yes ❑ No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> 6 N/A operational? <br /> Yes ❑ No* For pressurized piping systerns, 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) R Sump/Trench Sensors; f Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? a Yes; ❑No. <br /> ❑ Yes 0 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 /> fillpoint(s)and operating ro erl ? If so,at what percent of tank capacity does the alarm trigger? % <br /> 40 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* 0 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 /> Yes ❑ No* Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable <br /> 8 Yes ❑ No* Is all monitoring equipment oerational per manufacturer's specifications? <br /> * In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: Pa 10 IA(..j JWA*: f_dns.wc ! )J ou ZZ4'35D " Gt1�7 ,- <br /> Page 2 of 3 03/01 <br />