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D. Results of Testing(Servicinb <br /> Software Version Lnstalled: <br /> Com lete the following checklist: <br /> Zr)�es 11 No* Is the audible alarm operational" <br /> es D No* Is the visual alarm operational? <br /> Y.._ O No Were all sensors visually inspected, functionally tested,and confirmed ooerational? <br /> Yes D No* Were all sensors installed at lowest ooLnt of secondary containment and positioned so that otfter equipment will <br /> not interfere with their proper operation? <br /> !D Yes ❑ rip* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> 12'1-*A operational? <br /> D Yes No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br /> D 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 you confirm positive shut-down due to leaks and sensor failure/disconnection? ❑Yes; ❑ No. <br /> Yes D No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (Le. no <br /> D N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> 1111 oint(s)and operating properly? If so,at what percent of tank capacity does the alarm trigger? % <br /> ❑ Yes' i F o 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* j No Was liquid found inside any secondary containment systems designed as dry systems? (Check all than apply) <br /> Product; ❑Water. ]f yes,describe causes in Section E,below. <br /> D No* Was monitoring system set-up reviewed to ensure proper settings?Attach set ur reports,if applicable <br /> Yes D No* Is all monitoring equipment operational per manufacturersspecifications'? <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 />