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Oct 30 07 12: 25p Rfforda Test [209) 744-0116 p. 2 <br /> D. Results of Testing/Servicing <br /> l_. <br /> Software Version Installed: <br /> Complete the following checklist: <br /> Yes ❑ No` Is the audible alarm o17rational? <br /> Yes ❑-No* Is the visual alarmoperational?- <br /> J4 <br /> Yes ❑ No' Were all sensorsvisuafly 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 o cration? <br /> 0 Yes ❑ No' If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> Pf N/A operational? <br /> I$ Yes ❑ No' For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br /> O N/A monitoring system detects a leak, fails to operate,or is electrically disco netted? If yes: which sensors initiate <br /> positive shut-down? (Check all that apply))d Sump/Trench Sensors; A Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and scrisor failure/disconnection? NPVes; O No. <br /> ❑ Yes ❑ No' For tank systems that utilize the monitoring system as the primary tank overfill warning device (ix. no <br /> N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> fill point(s)and operating properly? If so, at what percent of tank capacity does the alarm tri ger? % <br /> O 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 F„below. <br /> ENo Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) ❑ <br /> Product; ❑ Water. If es,describe causes in Section E,below. <br /> ❑ No' Was monitorin s stem set-upreviewed to ensure propel settin ? Attach set u repo tS. if a licable <br /> ❑ No' Is ail monitoring equipment oerational per manufacturer's s ecifications? <br /> • [n Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: <br /> Page 2 of3 03g] <br />