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D. Results of Testing/Servicing <br />Software Version Installed: ( n . 0 <br />nolete the follnwinn rhprkne*- <br />�1 Yes <br />❑ No* <br />Is the audible alarm operational? <br />Is the visual alarm op%rational? <br />Were all sensors visu lly inspected, functionally tested, and confirmed operational? <br />® Yes <br />❑ No* <br />® Yes <br />❑ No* <br />91 Yes <br />❑ No* <br />Were all sensors installed at lowest point of secondary containment and position ed so that other equipment will not interfere with their proper <br />operation? <br />If alarms are relayed ~'o a remote monitoring station, is all communications equipment (e.g.. modem) operational? <br />i <br />❑ Yes <br />❑ No* <br />N/A <br />® Yes <br />❑ No* <br />❑ N/A <br />For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment monitoring system detects a leak, <br />fails to operate, or is! electrically disconnected? If yes: which sensors initiate Positive shut <br />Sensors; s -down? (Check all that apply) K Sump[Trench <br />❑ Yes <br />❑ No* <br />Did you confirm positive shut -down due to leaks and sensor failure/disconnection? ❑ Yes; ❑ No. <br />C� N/A <br />be <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e., no mechanical overfill prevention valve is <br />installed), is the overfill warning alarm visible and audible at the tank fill point(s) and operating properly? If so, at what <br />does the <br />alarm trigger? % percent of tank capacity <br />❑ <br />® No <br />Was any monitoring 4quipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name <br />and model for all replacement parts in Section E, below. <br />Yes <br />❑ <br />No <br />Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) <br />❑ Product; ElWater. If yes, describe causes in Section E, below. <br />Yes <br />i <br />Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if applicable <br />® Yes <br />® Yes <br />❑ No* <br />❑ No* <br />Is all monitoring eq' "pent operational per manufacturer's specifications? <br />-- ---� • �•• ar u Wrc� urese uencfencfes were or will be corrected. <br />Comments: <br />Monitoring System Certification <br />F. In -Tank Gauging / SIR Equipment: <br />Page 2 of 4 <br />Check ' box if tank au ing is used only for <br />Check this box i no an gauging or equipment is installed. <br />Thiq -Minn mngt ha rmmnlptprf if in -tank nanninn Pnuinmpnf iq ngPrl to nPrform lack rfptprfinn mnnitnrinn <br />2/21/07 <br />