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Dec 21 2007 11 : 49AM HP LASERJET FAX P. 5 <br /> D. Results of Testing/Servicing <br /> Software Version Installed: / ZQ. Qz <br /> complete the followlna checklist: S -�,.c <br /> Yes ❑ Nos Is the audible alarm operational? <br /> f�Yes ❑ No* Is the visual alarm operational? <br /> fa'Yes ❑ No* Were all sensors visuallyfunctionallytested,and confirmed operational? <br /> I Ur Yes ❑ Nos Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will <br /> not interfere with their properon? <br /> ❑ Yes ❑ No* If alarms', are relayed to a remote monitoring station, is all commmmicat.ona equipment (e.g. modem) <br /> W N/A operational? <br /> Yes ❑ Nos Por pressurized Pip ng systems, does the turbine automatically shut down if the piping secondary containment <br /> ❑ N/A monitorting system detects a leak fails to operate, or is electrically disconnected? which sensors initiate <br /> positive shut dawn? (Check all that apply) �umpfl ranch Senvors; Sd Dispenser Containment sensors. <br /> Did ou cbnfimr ositive shut down due to leaks sensor laiture/discannaction? Sd es ❑No. <br /> 16 Yes ❑ Nos For tank systems that utilize tbe monitoring system as the prmary tank overfill waning device (i.e. no <br /> ❑ N/A mectanica overfill prevention valve is inatal2ed), is the overfill warning alarm v Bible and audible at the tank <br /> fill ousts and eratin r1 If so,at what ercent of task ca i does the alarm tri % <br /> ❑ Yes* No Was any nyonitoring equipment replaced? If yes id <br /> etrtif'y specific sensors,probes, or other equipment replaced <br /> and list the manufacturer name and model for all replacement parts in Section E,below. <br /> ❑ Yess &F No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply)❑ <br /> ProdueC P Water. If yes,describe causes in Section E,below. <br /> Yes ❑ Nos Was monitoring system qct-uP reviewed to ensure Prover settings?Attach set up Tyports, if applicable <br /> 4—F es ❑ Nos is all monito '5 e operational er manufacturer's s ifications? <br /> *In Section E below,describe hbw and when these deficiencies were or will be corrected. <br /> E. Comments: ZE ZnZ07/F7e G / Ff�r� e <br /> l0 " x.91-vim 7� <br /> Page 2 of 3 03/01 <br />