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7149782615 057 a.m. 10-20-2014 6114 <br /> RECEIVED <br /> D.Results of Testing/Servicing <br /> OCT 2 © 2014 <br /> Software Version installed: 120.02 <br /> Complete the following checklist: ' 1"1 <br /> F Yes r Ne is the audible alarm operational? —p <br /> F Yes r No' Ls the visual alarm operational? <br /> F Yes r No* Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> FO Yes r No• Weell sensors installed at lowest point of secondary containment and positioned so that ether equipment <br /> wirell not interfere with their <br /> grojEr o ration? <br /> r Yes r N e I If alarms are relayed to a remote monitoring station,is all communications equipment(e.g.modem) <br /> F NIA operational? <br /> F Yes r No* For pressurized piping systems,does the turbine automatically shutdown if the piping secondary <br /> r N/A containment monitoring system detects a leak,fails to operate,or is electrically disconnected?Ifyes:which <br /> sensors initiate positive shutdown?(Check all that apply) <br /> P7 SumpffrenchSensom, 1+. Dispenser Containment Sensors. Didyou confirm positive shut-down <br /> due to leaks @atLsensor failure/disconnection? <br /> r Yes; r No. <br /> r Yes r No* For tank systems that utilize the monitoring system as the primary tank overfill warning device(Le.no <br /> mechanical overfill prevention valve is installed),is the overfill warning alarm visible and audible at the <br /> r N/A tank fill points)and operating properly?If so,at what percentof tank capacity does the alar trigger? <br /> r Yes* r No Was airy monitor ng equipment replaced?if yes,identify specific sensors,probes,or otherequipment <br /> replaced and list the manufacturer name and model for all replacement parts in Section E,below. <br /> r Yes* r No Was liquid found inside any secondarycontainment systems designed as dry systems?(Check all that <br /> apply) r Product; r Water.If yes,describe causes in Section E,below. <br /> r Yes r No* Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable <br /> Yes r No* is all monitoring equipment operational per manufacturer's specifications? <br /> *In SectionE below,describe hawand who droredeHdeneHr were orwill be®rrected. <br /> E Comments: <br /> Other sensors from page one: <br /> L14 Motor Oil Annular 794390-420:Certified. <br /> The Unleaded and Diesel USTs are equipped with mechanical overfill prevention valves. <br /> Water was found and removed from the Diesel STP sump. <br />