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` Site Address: Date— 'esting/Servicing: ',I /_51_._)_/Ot <br /> D. Results of Testing/Servicing <br /> Software Version Installed: <br /> Com Tete the following checklist: <br /> Yes ❑ No* Is the audible alarm operational? <br /> Yes ❑ No* Is the visual alarm operational? <br /> Yes ❑ 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,�'Q Sump/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 /> fill point(s)and operating ro erl ? 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 parts in Section E,below. <br /> ❑ <br /> —Y—es* 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 /> Yes ❑ No* Was monitoring system set-upreviewed to ensure proper settings?Attach set u reports,if applicable <br /> Yes ❑ No* Is all monitoring equipment oerational per manufacturer's specifications? <br /> * In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: Sl`�w 1`^00647 OF Ott— t ht n-ic �-J cb-E OIL SUWW, �W1Vfcr,, <br /> WILL W l-pE tT :AUT, <br /> Page 2 of 3 05100 <br />