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A Results of Testing/Servicir <br /> Software Version Installed: <br /> Complete the following checklist: <br /> SFpErss <br /> ❑ No* Is the audible alarm operational? <br /> ❑ No* Isthe visual alarm operational? <br /> ❑ No* Were all sensors visually inspected, functionally tested, and confirmed operational? <br /> ❑ 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 ❑�i.o* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> C�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, r is electrically disconnected? If yes: which sensors initiate <br /> positive shut down? (Check all that apply) umparench Sensors; C3�ispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? E Yes; ❑ No. <br /> es ❑ 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 /> k0llfill point(s)and operating properly? If so, at what percent of tank capacity does the alarm trigger? J <br /> YedI ::No <br /> 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 /> Ye Was liquid found inside any secondary containment systems designed as dry systems? (Check all that appl}) <br /> ❑ Product; ❑Water. If yes, describe causes.in Section E,below. <br /> ❑ Yes ❑ No* Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable <br /> ❑ Yes o* 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: Tb 'P <br /> � � ;� Lira <br />