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D. Results of Testing/Servicing <br /> Software Version Installed: <br /> Complete the following checklist: <br /> Yes ❑ No* I 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 /> Cl Yes ❑,No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> N/A operational? <br /> ly 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)` . ump/Trench Sensors; �ispenser Containment Sensors. <br /> Did you confirm positive shut-down due to eaks and sensor failure/disconnection? VYes; ❑ 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 <br /> ankfill oint(s) and operating pro erly? If so, at what percent of tank capacity does the alarm trigger? % <br /> ❑ Yes* i 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 /> ❑ Yes* Y 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 monitorings stem set-up reviewed to ensure proper settings? Attach set up reports, if applicable <br /> Yes I ❑ No* Is all monitoring equipment operational per manufacturer's specifications? <br /> In Section E below, describe how and when these deficiencies were or will be corrected. <br /> E. Comments: <br /> Page 2 of 3 03/01 <br />