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v <br /> D. Results of Testing/Servicing <br /> Software Version Installed: 5L., S <br /> Com tete the following checklist: <br /> Yes ❑ No* Is the audible alarm operational? <br /> 2"fes ❑ No* is the visual alarm operational? <br /> 2''fes ❑ No* Were all sensors visually inspected,functionally rested and confirmedoperational? <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 /> O—R/A opemdonal? <br /> es ❑ 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) d ump/Treneh Sensors; Erbispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? fd'4es; ❑No. <br /> ❑ Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br /> CIN/A mechanical overfill prevention valve is installed), is the overfill warring alarm visible and audible at the tank <br /> Fill int(s)and operating properly? 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 fist the manufacturer name and model for all replacement parts in Section E,below. <br /> ❑ Yes* 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 /> es IT No* Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports.if a licable <br /> ❑ YesNo* Is all monitoring !i ment operational per manufacturer'sspecifications? <br /> *In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: fl[ c 3 $.ct t35 5 " 1 HC /,etb".Taft ftnF oYT— <br /> sy «A_e_ Y"� <br /> Page 2 of 3 03051 <br />