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D,. Results of Testing/Servi. <br /> Software Version Installed: <br /> Complete the ollowing checklist: <br /> Yes ❑ No* Is the audible alarmoperational.' <br /> yes j ❑ No* j Is the visual alarm operational <br /> 1 <br /> yes I 0 No* Were all sensors visually inspected, functionally tested,and confirmed o erational? <br /> Yes ❑ 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 /> ❑ Yes ❑ No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> f'N/A operational? " <br /> ❑ Yes ❑ No's For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br /> 2'--N/A 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 and sensor failure/disconnection? ❑Yes; ❑No. <br /> ❑ Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank: overfill warning device (i.e. no <br /> 2r'N-UA mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank: <br /> fill int(s)and omratinproperly? If so,at what percent of tank capacity does the alarm trigger? % <br /> ❑ Yes* No Was any monitoring equipment replaced? If yes,identify specific sensor,probes,or other equipment replaced <br /> and list the manufacturer name and model for all replacement parts in Section E,below. <br /> ❑ Yes* No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that appal <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 ❑ No* Is all monitorin meat operational per manufacturer's s cations? <br /> *In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: tri7`ec�- <br /> W -t .r <br /> Page 2 of 3 03101 <br />