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1 , <br /> D. Result$ of Testing/Servicing • • C E T Dispatch .SJ'10S 7 <br /> Software Version Installed: G <br /> Com Tete the foliowing checklist: <br /> Yes ❑ No* Is the audible alarm operational? <br /> Yes ❑ No* Is the visual alarm operational? <br /> Yes j ❑ No* Were all sensors visually inspected.functionally tested,and confirmed operational? <br /> Yes ❑ No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will <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 /> 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)Sump/Trench Sensors, ' ispenser Containment Sensors. <br /> Did you confum positive shut-down due to leaks and sensor failure/d sf connection? es; ❑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 /> fillPoint(s)and operating ro erly? If so,at what percent of tank capacity does the alarm trigger? % <br /> 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 oarts in Section E.below. <br /> ❑ Yes* �r No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply)❑ <br /> Product; ❑Water. If yes, describe causes in Section E,below. <br /> 42-Yes ❑ No* Was innnitnrina s stem set-up reviewed to ensure proper settings?Attach set up reports,if applicable <br /> f❑ Yes ❑ No* is all monitoring a ui mentoperational per manufacturer's specifications? <br /> * In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: <br /> ty <br /> Page 2 of 3 <br />