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D. Results of Testing/Servicing <br /> ll— <br /> Software Version Installed: TS ( b0 l <br /> Com tete the following checklist: <br /> F <br /> es ❑ No* Is the audible alarm o erational? <br /> 'es ❑ No* Is the visual alarm o erational? <br /> es ❑ 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 then proper operation? <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 operate,or is electrically disconnected? If yes:which sensors initiate <br /> positive shut-down? (Check all that apply) JI-Sump/Trench Sensors; WDispenser Co tainment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? es; ❑No. <br /> ❑ Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (Le, no <br /> X-N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> 1" 14,AQ fill ins and operating properly.? If so,at what percent of tank capacity does the alarm trigger? % <br /> ❑ Yes` WNo 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* 8(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 as monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable <br /> Yes ❑ No* Is all monitorrin a ug mento erational r manufact�uer's s ecifications? <br /> *In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: <br /> r� <br /> Page 2 of 3 03/01 <br />