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�. nesuaes ox i esting/Servieing <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- 13 No* Were all sensors visually inspected, functionally tested,and confirmed operational? <br /> Yes ❑ Nu 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 ❑ If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> AF /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) ❑ Sump/Trench Sensors; ❑Dispenser Containment Sensors. <br /> Did ou confirm ositive shut-down due to leaks and sensor failure/disconnection? ❑ Yes; ❑No. <br /> ❑ Yes ❑ate* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br /> td/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> fill oint(s)and op eritinproperly? If so,at what percent ofEc <br /> capacity does the alarm trigger? % <br /> � Yes* No Was any monitoring equipment replaced? If yes, identify spors,probes, or other equipment replaced <br /> and list the manufacturer name and model for all replacement ection E,below.7 Yes* No Was liquid found inside any secondary containments stems s stems. Check all that a 1 ❑y y ( )Product; ❑ Water. If es,describe causes in Section E,belo❑ No* Was monitorin s stem set-u reviewed to ensure ro er settch set u re orts, if a licableYes ❑ No* Is all monitorin a ui mento erational er manufacturer's s ns? <br /> In Section E below,describe how and when these deficiencies were or will be corrected. <br /> :. <br /> Comments: <br /> Page 2 of 3 <br /> 03101 <br />