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D. Results of Testing/Servicing <br /> Software Version Installed: <br /> Com lete the following checklist: <br /> Yes ❑ No* Is the audible alarm operational? <br /> es ❑ No* Is the visual alarm operational? <br /> ❑ 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 /> a-jr/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 /> P ositive shut-down? (Check all that apply) Gl'S p/Trench Sensors; ❑ Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? 3rT s;_T7 No. <br /> ❑ Yes L3 No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br /> /A mechanical overfill prevention,valve is installed), is the overfill warning alarm visible and audible at the tank <br /> q <br /> l point(s)and operating properly? If so,at what percent of tank capacity does the alarm trigger? % <br /> ❑ Yes* as any monitoring equipment replaced? If yes,identify specific sensors,probes, or other equipment replaced <br /> d list the manufacturer name and model for all replacement parts in Section E,below. <br /> ❑ Yes* as 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 /> as monitoring system set-up reviewed to ensure proper settings?Attach setup reports,if applicable <br /> Yes all monitoring equipment operational per manufacturer's specifications? <br /> .*In Section E below,describe now and when these deficiencies were or will be corrected. <br /> ,E. Comments: <br /> Page 2 of 3 03101 - <br />