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Site Address: 4855 St Hnj 99 <br /> • *of Testing/Servicing: 2/13/03 <br /> D. Results of Testing/Servicing <br /> Software Version Installed: <br /> Co lete the following checklist: <br /> Q ❑ No* Is the audible alarm operational? <br /> y ❑ No* Is the visual alarm operational? <br /> Y ❑ No* Were all sensors visually inspected.functionally tested,and confirmed o erational? <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 ro er o eration? <br /> ❑ Yes ❑ No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> �N/A operational? <br /> Yes ❑ No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br /> ❑ N/A monitoring system detects a leak, fails to ope�rat�eJ�''r is electrically disconnec If yes: which sensors initiate <br /> positive shut-down? (Check all that apply) LXSump/Trench Sensors; ispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? ❑Yes; ❑No. <br /> ❑ Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill waming device (Le. no <br /> N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> fill point(s)and 2perating properIy9 If so,at what percent of tank ca aci does the alarm trigger? ????% <br /> Yes* [j 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 /> M_Yes* ElNo 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 /> ,B—Yes [INo* Was monitoring system set-up reviewed to ensure proper settin s? <br /> Yes ❑ No* I Is all monitoring equipment operational per manufacturer's s ecifications? <br /> * In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: <br /> V1;1 Lb 2ooD <br /> V 41 <br /> 03101 <br /> Page 2 of 3 <br />