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D. Results of Testing/Servicing <br /> R Software Version Installed; <br /> Y <br /> Complete the fo <br /> 110 'na checklist: <br /> es ❑ No Is the audible alarm operational? <br /> es ❑ No* 1 Is the visual alarm operational? <br /> s D No* Were all sensors visually inspected, functionally tested,and confirmed operational? <br /> El Yes ❑ No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will <br /> not interfere with their o er 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 operator is electrically discted? If yes: which sensors initiate <br /> positive shut-down? (Check all that apply) Sumonpec <br /> p/Trench Sensors; Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? ❑Yes; ❑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 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 /> Z, and list the manufacturer name and model for all replacement parts in Section E,below. <br /> Ef Yes* ❑ No Was liquid found inside any secondary containment systems designed as dry systems? (Check all rha:aPply) C <br /> Product; ❑Water. If yes,describe causes in Section E,below. <br /> tj es ❑ No* Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable <br /> Yes ❑ No* Is all monitoring equipment operational per manufacturer's s cifications. <br /> *In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: V 4b \�StA <br /> L SVr�,P . <br /> Page 2 of 3 03/01 <br />