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Y <br /> Software Version Installed: _ <br /> Com lete the following Checklist: <br /> El Yes ❑ No* Is the audible alarm operational? <br /> ® Yes ❑ No* Is the visual alarm operational? <br /> ® Yes ❑ NO Were all sensors visually inspected,ftinctionally tested,and confirmed operational? <br /> ® Yes ❑ No* Were all sensors installed at lowest point of secondary containment and positioned so that otlequipment will <br /> not interfere with their proper operation? <br /> -5--yes ❑ No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> ® N/A operational? <br /> l Yes ❑ No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br /> ❑ 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 applti) ® Sump/Trench Sensors; ® Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? ® Yes; ❑No. <br /> ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br /> II ® 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 properly? If so, at what.percent of tank capacity does the alarm trigger? <br /> % <br /> a 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 /> ,21 Y,%,�* LlNo 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 /> Yes ❑ No* Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports, if appticable <br /> 3F 1'esI ❑ No* Is all monitoring a ui mentoperational per manufacturer's specifications? <br /> h In Section E below,describe how and when these deficiencies were or will be corrected.j <br /> E. Comments: G �f G fl oo V %'V-1 q1 fl' h Sung <br /> G1 c,rvtouh� d t�r��lC �- �u►�CA_ �w� h�lS �a Q�� Use <br /> Pa,,z 2 ol'3 03/01 <br />