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J). Results of Testing/Servicing <br /> Y _ F <br /> Software Version installed: ; <br /> r ^ <br /> Complete the ollo 'ng checklist: <br /> ..` es ❑ No* Is the audible alarm o erational? <br /> ❑ Yes ❑ No* Is the visual alarm operational? <br /> ,❑ ?s Q' No* Were all sensors visually inspected, functionally tested,and confirmed o erational? <br /> FQ) <br /> es ❑ No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will <br /> not interfere with their ro er o ration? <br /> es ❑Flo* If alarms are relayed to a remote mdnitoring station, is all communications equipment (e.g. modem) <br /> r.3'�11A operational? <br /> a Yes ❑ No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br /> C) N/A monitoring system detects a leak, fails to operate,•or is electrically disconnected? It yes: which sensors initiate <br /> positive shut-down? (Check all:hat apply) Qf Sumpffrench Sensors; ❑'6ispenser Containment Sensors. <br /> f`t Did you confirm positive shut-down due to leaks and sensor failure/disconnection? 2'fes; ❑ No. <br /> Yes LJ- 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 /> fillpoint(s)and operating properly? ff so,at what percent of tank capacity does the alarm trigger? % <br /> ❑ Yes* No . Was any monitoring equipment replaced? If yes,identify spec sensors,probes,or other equipment replaced <br /> and list the manufacturer name and model for all realacement parts in Section E,below. <br /> CJ Yes* No 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 /> LZ Yes ❑ No* Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable <br /> Yes ! ❑ No* Ig equipment operational per manufacturer's specifications', <br /> *In Section E below,describe bow and when these deficiencies were or will be corrected_ <br /> E. Comments: Un L C�a L04 e dt����'_�I -C&ns�d J�/_ 7_/J Z5' <br /> ---- <br /> Page 2 of 3 u3i(31 <br />