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05/03/2007 09:40 2099519352 �?ILLAGE IIEST MARINA PAGE 03 <br />D. Results of Testing/Scrvicing <br />Software Version Installed: 323.01 <br />Complete the folio <br />ng checklist: <br />® Yes No* <br />Is the audible alarm operational? <br />® Yes <br />No* <br />Is the visual alarmtional? <br />® Yes <br />Lj No" <br />Is the print function o tionai? 0 Not installed. <br />Yes <br />No* <br />Were all sensors visually inspected, functionally tested and confirmed operational? <br />Yes <br />[] No* <br />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 <br />❑ No* <br />If alarms are relayed to a remote monitoring station, is all communications equipment (e -g. modem) <br />® N/A <br />operational? <br />® Yes <br />No* <br />For pressurized piping systems, docs the turbine automatically shut down if the piping secondary containment <br />❑ N/A <br />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 p114 sensor failure/disconnection? 0 Yes; 0 No. <br />❑ Yes <br />❑ No* <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br />® N/A <br />mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br />fill point(s) and operating ro1 ? If so, at what t of tank capacity does the alarm trigger? <br />❑ Ycst <br />No <br />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 puts in Section E, below_ <br />Yes* <br />®No <br />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 />LsYY❑ <br />No` <br />Was monitorin stem set -u reviewed to ensure r settirt s? Attach set up reports, if applicable <br />E]No* <br />Is all monitorin a ui cnt o erational manufacturer's s ecifications7 <br />* in Section F. below, describe how and when these deficiencies were or will be cvrrccted. <br />E. Comments: The Diesel fill bucket failed. Elite 1V was called out to replace it. <br />Paige 2 of 3 03/01 <br />