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D. Results of Testing/Servicing Software version installed: Wfollowinllowin checklist:o* Is the audible alarmo erational? o* Is the visual alarm o rational? o* Were all sensors visual) ins ted,fuo* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their ro r o ration? o* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) A operational? ❑ Yes ❑ No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment ❑ N/A monitoring system detects a leak, fails to operate,or is electrically disconnected? If yes: which sensors initiate positive shut-down? (Check all that apply) ❑Sump/Trench Sensors; ❑Dispenser Containment Sensors. Did you confirm positive shut-down due to leaks and sensor failureti isconnection? ❑ Yes; ❑No. ❑ Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no ❑ N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank fill point(s)and operating rorl ? If so,at what percent of tank capacity does the alarm trigger? % ❑ Yes* ❑ No Was any monitoring equipment replaced? If yes,identify specific sensors,probes,or other equipment replaced and list the manufacturer name and model for all replacement parts in Section E,below. ❑ Yes* ❑ No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply)❑ Product; ❑Water. If yes,describe causes in Section E,below. ❑ Yes ❑ No* Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable ❑ Yes ❑ No* Is all monitoring ui mento erational Mr manufacturer's s ecifications? *In Section E below,describe how and when these deficiencies were or will be corrected. E. Comments: LJI +tf) D am n tl1 Page 2 of 3 03/01