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D. Results of Testing/Servicing , <br /> Software Version Installed: <br /> Com Bete the fo lowing checklist: <br /> Yes ❑ No* I Is the audible alarm operational? <br /> Yes ❑ No* Is the visual alarm operational? <br /> Yes [3 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 thew 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) ❑ Sump/Trench Sensors; ❑ Dispenser 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 warning device (Le. no <br /> p N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> } G fillpoint(s)and operating ro erl ? 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* 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 /> ,,YYes ❑ No* Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports, if applicable <br /> ❑'Yes ❑ No* Is all monitorin a ui mentoperational per manufacturer's specifications? <br /> * In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: �Iy�(`, �e`� WAS �Aoy-k ).�f of <br /> Page 2 of 3 03101 <br />