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D. Results of Testing/Servici <br /> Software Version Installed: <br /> gcozl2lete the foIlowin checklist: <br /> ❑ No* Is the audible alarm operational? <br /> ❑ No" Is the yuua] alarm o erational? <br /> ❑ No. <br /> Were all sensors visually inspected, functionally tested, and confirmed ooerational'? <br /> Yes ❑ No* I Were all sensors installed at lowest point of secondar,r cor.tainr eat and positioned so that other equipment will <br /> not �nrerfete with their proper operation? <br /> ❑ Yes ❑ o* If alar;-u are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> I{ N A operational? <br /> ❑ Yes No* For pressurized piping systems, does the turbine automaticaily slut 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 /> Ipositi%e shut-down? (Check all that apply) ❑ Sump Trench Sensors; ❑ Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to Ieaks and sensor faiium,'disconnection? ❑ Yes; ❑ No. <br /> Yes ❑ No* For ta:.k systems that utilize the monitoring system as the prin-ary 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 vcintfs) and o eratine properly? If so, at what percent of tank capacity does the alarm trip-ger'? <br /> �I ❑ Yes* No Was any monitoring equipment replaced? If yes, idenrfy specific sensors, probes, or other equipment replaced <br /> and lis: the manufacturer name and model for all replacement pars in Section E. below. <br /> ❑ Yes No Was liquid found inside any secondary containment systerns designed as dry systems? (Check all that apply) ❑ <br /> Produce: ❑ Water. If ves,describe causes in Secricn E, below. <br /> i <br /> s ❑ No* 1 Was monitoring system set-llp reviewed to ensure ,;roper settings? .;,tach set ur reaorts, if applicable <br /> Yes ❑ No* Is all monitoring eaui mens operational per manufacturer's specifications? i' <br /> * In Section E below, describe how and when these deficiencies were or will be corrected. <br /> E. Comments: <br /> Page 2 of 3 03i0i <br />