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la, lei 4CIu.L IU.It) ZUj4bbJ4JJ r jr IH 1-LUUR HA(at. UJ <br /> D. Results of Testing/Servicing <br /> Software Version Installed: <br /> Complete the folio nit cheeldist: <br /> Zr Yes 0 No* Is the audible alarm operational? <br /> Yes ❑ No* Is the visual alarm o erational? <br /> iff 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«i11 <br /> not interfere with their proper o oration? <br /> O Yes ❑ No* if alarms are relayed to a remote monitorinj station, is all communications equipment (c.g. modem) <br /> -a'N/A operational.' <br /> ❑ Yes Q No* For pressurized piping systems.does the turbine autornatically shut down if the piping secondary containment <br /> eM—N/A monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensory initiate <br /> positive shut-down? (Check till that apply) Q Sump/Trench Sensors; ❑ Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks W sensor failure/disconnection? ❑ Yes; 0 No. <br /> ❑ Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br /> -2-N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> fill Point(s) and operating ro erl ? If so,at what percent of tank capacity docs the alam, 0/ <br /> 0 Yes' 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' Q'No Was liquid found imide 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 O No's Was moajtoEjRg system set-up reviewed to ensure proper sertin ?Attach set u2 reports, if applicable <br /> Yes O No*. Is all monitoring equipment oerational per manufacturer's specifications? <br /> * In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: A/o P,(-^f 4r o r, 1 LS <br /> Page 2 of 3 03�o i <br />