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Site Address: SS#6080, 85 E. Louise A e, Lathrop Date esting/Servicing: <br /> D. Results of Testing/Servicing <br /> Software Version Installed: l Cj (D <br /> Complete the foliowin checklist: <br /> Yes ❑ No* Is the audible alarm operational? <br /> Yes ❑ No* Is the visual alarm operational? <br /> es ❑ No* Were all sensors visually inspected, functionally tested,and confirmed operational? <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 /> ErUA operational? <br /> es ❑ 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 apply) �imp/Trench Sensors; [I-Hi`penser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? L21res; ❑No. <br /> ❑ Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br /> mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> fill point(s)and operating ro erl ? If so,at what percent of tank capacity does the alarm trigger? ????% <br /> ❑ Yes* o 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 /> ❑ 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 /> Re <br /> s F1 No* Was monitorin s stem set-u reviewed to ensure ro er settin s? <br /> s ❑ No* Is all monitorin a ui mentoperational per manufacturer's ecifications? <br /> *In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: <br /> Page 2 of 3 03101 <br />