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MomD. Results of Testing/Servicing <br /> Software Version Installed: . <br /> Com fete the Foliowin checklist: <br /> V,jes ❑ No` I Is the audible alar operational? <br /> es ❑ No* I Is the visual alarm operational? <br /> Yes ❑ No' Were all sensors visually inspected,fimcdonally tested,and confirmed operational? <br /> 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 q o" If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> W'NIA operational? <br /> qk-le; ❑ No* For pressurized piping systems, does the turbino automatically shut down if the piping secondary containment <br /> ❑ NIA monitoring system detects a leak, fails to operate or is electrically disconne ed? lryes: which sensors initiate <br /> positive shut-down? (Check all that appty) 6 7Sump/Trench Sensors; EMispenser C pltaainment Sensors. <br /> Did You confirm posidve shut-down due to leaks and sensor failure/disconnection?QfYes; O No. <br /> Yes ❑ 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 opmfinA properly'? If so,at what percent of tank rapacity does the alarm triK er1 % <br /> ❑ Yes" Er 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)❑ <br /> Product; ❑ Water. If yes,describe causes in Section E, below. <br /> f ❑ No' Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable <br /> Yes 0 Noy I Is all monitoring equipment operational er manufacturer's s eoifioatione? <br /> " In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: Kt I I 57y <br /> -ZO <br /> if3 - <br /> utti 7 I <br /> it <br /> ute- <br /> LLM t`'!C� <br /> Page 2 of 3 U3/Ul <br />