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D. Results of Testing/Servicing <br /> Software Version Installed: ' <br /> Complete the following checklist: <br /> es ❑ No* Is the audible alarm operational? <br /> Wyles ❑ No* Is the visual alarm operational? <br /> U�Yes ❑ No* Were all sensors visually inspected, functionally 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 ❑ No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> El—lf/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 operate, or is electrically disconnected? If yes: which sensors initiate <br /> positive shut-down? (Check all that apply) U-STmp/Trench Sensors; Oli—ispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? 2'Te's; ❑No. <br /> ❑ Yes ❑ Ny* For tank systems that utilize the monitoring system as the primary, tank overfill warning device (i.e. no <br /> CSN/A mechanical overfill prevention valve is installed), is the overfill waming 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? <br /> ❑ Yes* o 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 /> es* ❑ 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 /> ❑ Yes 1 ❑ No* Is all monitoring equipment operational per manufacturer's specifications? <br /> *In Section E below, describe how and when these deficiencies were or will be corrected. <br /> E. Comments: h-e N �. k of cam' I.,.0 L v/2 l e Cl Ls 1P� t a,/ t� <br /> �& tit e 1—rO vh t—ti Wt w O �r c �e F � 4-,�.,.i.v .0 a? t ,I a, r.l U'(/ u S e 0� " <br /> Pr w d r m r� G Y nnOl, t 'f �7 P )dttrr yR� y`t9 `e S 5471 //� J64 Lj04-5 <br /> Page 2 of 3 03/01 <br />