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D. Results of Testing/Sen icins <br /> Software Version Installed: 1 2-D. O z <br /> Com lete the followingchecklist: <br /> L Yes ❑ No* Is the audible alarm o -rational? <br /> id Yes ❑ No* Is the visual alarm operational? <br /> l7 Yes ❑ No* Were all sensors visuallyins ected,fimctionall tested,and confirmed operational? <br /> Yes Ll No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment w ll <br /> not interfere with their ro er o eration7 <br /> ❑ Yes ❑ No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> W 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) Jatump/Trench Sensors; &rDispenser Containment Sensors. <br /> Did you confirmositive shut-down due to leaks and sensor failure/disconnection? 2`Yes; ❑No. <br /> Yes ❑ 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 oin s and eratin erl If so,at what percent of tank capacity does the alarm trigger? % <br /> * equipment replaced? If yes,identify specific sensors,Probes,or other equipment replaced <br /> LJ Yes* No Was any monitoring ur p eP <br /> and list the manufacturer name and model for allreolacemeat parts in Section E,below. pp y) <br /> ❑ Yes* No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that a 1 ❑ <br /> Product; ❑Water. If yes,describe causes in Section E,below. <br /> ®'Yes ❑ No* Was monitorina system set-up reviewed to ensure Proper settings?Attach set up Eports,if livable <br /> U'Yes ❑ No* Is all monitoring a ' mentoperational per manufacturer's s ecifications? <br /> *In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: Gt/f1S77" <br /> m! 07/6kt%lZL ,� 't i cticr G cm�dlZ t'S <br /> LPz'j i9�tl 7Dr° <br /> Page 2 of 3 03/01 <br />