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Site Address: SS#9600, 1250 N.Wilson Way, Stockton <br /> Date of Testing/Servicing: <br /> D. Results of Testing/Servicing <br /> Software Version Installed: -7( <br /> Com lete the following checklist: <br /> Yes ❑ No* Is the audible alarm operational? <br /> Yes ❑ No* Is the visual alarm o erational? <br /> Yes ❑ No* Were all sensors visually ins ected,functionally tested,and confirmed o erational? <br /> ositioned so that other equipment will <br /> Yes El No* Were all sensors installed at lowest point of secondary containment and p <br /> not interfere with their 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 /> 00 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 iirenctr electrically <br /> Sensdisconnected? <br /> isco Dispenser Containment Sensor .initiate <br /> positive shut-down? (Check all that apply) } Sump <br /> /Trench <br /> you confirm positive shut-down due to leaks and sensor failure/disconnection? PR Yes; ❑No. <br /> ❑ Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br /> 10 N/A mechanical overfill prevention valve is installed), is the overfill wanting alarm visible and audible at the tank <br /> fill point s and o eratin to ei!Li so,at what percent of tank capacitycapacLty does the alarm tri er. /o <br /> A, Yes* ❑ No 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 liqui found inside any secondary containments stems designed as dry systems? (Check all that apply) <br /> l ❑ <br /> Product; Water. If ves.describe causes in Section E,below. <br /> Yes ❑ No* Was monitoring system set-up reviewed to ensure pr2per settings? <br /> Yes ❑ No* Is all monitoring a ui mentoperational per manufacturer's specifications? <br /> " In Section E below,describe how and when these deficiencies wereor <br /> will be corrected. <br /> i n1n 1 �� J <br /> E. Comments: <br /> 03/01 <br /> Page 2 of 3 <br />