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r, <br /> 4 <br /> Software Version Installed: <br /> Complete the following checklist: <br /> Yes ❑ No* Is the audible ala-m operational'." <br /> a'Yes ❑ No* Is the visual ala=operational"' <br /> Yes ❑ No* Were ali sensor visually insnect�d fi,nctionally tested. and c�^. ^ '•,•�___., _., <br /> ❑ Yes &'-o* Were all sensors installed at lowest point of secondary containment a-: pos:-:o-:cd so that other equipment <br /> not inter:ere with their proper o-Deration? <br /> ❑ Yes ❑ No* If alarns are relayed to a remote monitoring station, is all co:^.:nunica:ions equipment (e.c, modem) <br /> C�3'�A operational? _ <br /> ❑ Yes ❑ No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br /> C,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 apph) ❑ 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 priman- tank overfill warning device (i.e. no <br /> 0 %A mechani:al overfill prevention valve is installed), is the overfill Nvami.-tR alarm visible and audible at the tank <br /> fill ointi s)and oneratino properly? If so. at what percent of tank can.a:itv does the alarm trigger? %, <br /> ❑ Yes* No a'l'as 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 arts in Section E.below. <br /> ❑ Yes* No Was liquid found inside any secondary containment systems designed as dn_• systems? (Check all that apph) <br /> ❑ Product: ❑ Water. If es, describe causes in Section E.below. <br /> - <br /> Yes ❑ No Was monitoring system set-upreviewed to ensure roper settings?Attach set un reports. if ar) licable <br /> Yes ❑ No* Is all monitorin_ caui mentoperational per manufacturer's s ecifhcanons? <br /> * In Section E below, describe how and when these deficiencies were or will be corrected. <br /> E. Comments: S�c �o s-t—iLSb/t w j4 s u <br /> Page 2 of 3 <br /> 03101 <br />