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D: Results of Testing/Servi0 <br />cing <br />Software Version Installed: <br />Comglete the following checklist: <br />Y s <br />E)No* <br />Is the audible alarm erational? <br />Y <br />❑ No* <br />Is the visual alarm erational? <br />s <br />❑ No* <br />Were all sensors visually inspected, functionally tested, and confirmed rational? <br />19- Yes <br />❑ No* <br />Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will <br />not interfere with their ro r operation? <br />❑ Yes <br />❑,N -o** <br />If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br />" <br />L`T N/A <br />operational? <br />Yes <br />❑ No* <br />For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br />❑ N/A <br />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) 0lump/Trench Sensors; 5-Dis—penser Containment Sensors. <br />Did you confirm 22sitive shut -down due to leaks and sensor failureldisconnection?es; ❑ No. <br />❑ Yes <br />❑ NN *- <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br />CSN/A <br />mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br />fillpoint(s) and o tin properly? If so, at what percent of tank capacity does the alarm triger? % <br />❑ Yes* <br />No <br />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 2TU in Section E, below. <br />❑ Yes* <br />No <br />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 />❑ No* <br />Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if applicable <br />Yes <br />❑ No* <br />Is all T2gj!2ra STE2rnento ational RE manufacturer's s cations? :L—JI <br />* In Section E below, describe how and when these deficiencies were or will be corrected. <br />E. Co <br />Page 2 of 3 <br />03/01 <br />