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D. Results of Testing/Servicing <br /> Software Version Installed: <br /> [Yes <br /> e the followingchecklist: <br /> ❑ No* Is the audible alarm o erational? <br /> ❑ No* Is the visual alarm operational? <br /> ❑ No* Were all sensors visually ins ected,functionally tested,and confirmed operational? <br /> ❑ No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will <br /> not interfere with thein proper o eration? <br /> ❑ No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> 10 N/A operational? <br /> ❑ 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) 1d Sump/Trench Sensors; ❑ Dispenser Containm of Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? ❑ Yes; WNo' <br /> ❑ 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 /> fill point(s)and operating If so,at what percent of tank capacity does the alarm trigger? % <br /> ® 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 Lelacement arts in Section E,below. <br /> No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) ❑ <br /> Product; ❑Water. If es,describe causes in Section E,below. <br /> ❑ No* Was monitor in s stem set-u reviewed to ensure to er settin s?Attach set up reports,if applicable <br /> ❑ Yes UL No* I Is all monitoring equipment oerational per manufacturer's SPM—MMS? <br /> * In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: SEt0tP2 0 w-i no ES n10T Soku-t >oLok-1 — [uRJ?LINcS <br /> o A' IE`Sfla� LtJI�S ��c2�Or� M(GD >�T LSD O� CEl21l�/�al7ro� <br /> r <br /> Page 2 of 3 03/01 <br />