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II 1 rl r l-QQF\ <br />D. Results of Testing/Servicing <br />Software Version Installed: <br />C rimnirtr the fnitnwina eh►eWact- <br />r- H(Xt 6 ) <br />k3'Yes ❑ No" <br />Is the audible alarm operational? <br />es ® No* <br />Is the visual alarm o erational? <br />Yes O No' <br />Were all sensors visually inspected,functional) • tested,and confirmed o erational? <br />Yes D No* <br />Were ail sensors installed at lowest point of secondary containment and positioned so that other equipment will <br />not interfere with their % ei o eration? <br />0 Yes 0 No• <br />If alarms art relayrd to a remote monitoring station, is all communications equiprzunt (c.g. modem) <br />q N/A <br />operational? <br />1,ej, Yrs '❑ No• <br />For pressurized piping systems, does the Rtrbine automatically shut down if the piping secondary containment <br />k Q N/A <br />monitonng system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensor} initiate <br />positive shut -down? (Check all that apply) ,la tump/Trench Sensors; .Dispenser Containment Sensors <br />r <br />Did you confirm positive shut -down due to leaks W sensor failure/discoanection?sd Yes; 0 No, <br />❑ Yes ❑ No* <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br />¢YN/A <br />mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br />fill 2oint(s) and operatistg properly_? If so, at what percent of tank ca aci tZ does the alarm tri7 _ger? <br />j Yes• :;a' No <br />Was any monitoring equipawnt replaced? If ye:,, 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 />Z Yes' 0 No <br />Was liquid found inside any secondary containment systems designed as dry systems? (Check all that appl)) ❑ <br />Product; ZNVater. If yes, describe causes in Section E, below. <br />Yes 0 No; <br />Was moaitoEjRj s tem set-up reviewed to ensure 2roper setting? Attach set up reports, if a lica�le <br />Yes 0 No• <br />Is al! monitorin c ui menta erational ger manufacturer's specifications? <br />In Section E below, describe how and when these deficiencies were or will be corrected. <br />E. Comments: <br />L <br />Page 7 of 3 03101 <br />