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f M Software Version installed: 3.0 oY ----- `' mn Mete the followinff checklist: CVYes ❑ No* Is the audible alarm o erational? ® Yes ❑ No* Is the visual alarm operational? Yes ❑ No* Were all sensors visually inspected,functionally tested,and confirmed operational? lS Yes ❑ No* Were all sensors installed at lowest point of secondary containment ano hat not interfere with their ro er o eration? ❑ Yes ❑ No* If alarms are relayed to a remote monitoring station, is all comui 11 N/A operational? Id Yes ❑ No* For pressurized piping systems,does the turbine automatically shut dpi g se ❑ N/A monitoring system detects a leak,fails to operate,or is electrically disf es-",;n positive shut-down? (Check all that apply) ❑,Sump/Trench Sensors; ❑Dspenser on . i Did ou confirm ositive shut-down due to leaks and sensor failure/disconnection? 0 Yes; ❑No. ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no 111f, N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank fill point(s) and operating properly? If so, at what,percent of tank capacity does the alarm trigger? �— Yes* 4 No Was any monitoring equipment replaced? If yes,identify specific sensors,probes,or other equipment replaced and list the manufacturer name and model for all replacement arts in Section E,below. i Yes* 60 No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) ❑Product; ❑Water. If yes,describe causes in Section E,below. �( ❑ No* Was monitorin s stem set-up reviewed to ensure proper settings?Attach set a reports, if a licable Yes JC Yes ❑ No* Is all monitoring a ui ment o perational er manufacturer's specifications? in Section E below,describe how and when these deficiencies were or will be corrected. 1?. Comments: -- Page 2 of 3 03/01