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D. Results of Testing/Servicing <br /> Software Version Installed: 7oZ <br /> —o <br /> Complete the folio ' checklist: <br /> VJUIYes <br /> ❑ No* Is the audible alarm operational? <br /> JR ❑ No* Is the visual alarm operational? <br /> ❑ No* Were all sensors cti and confirmed operational? <br /> ❑ No* Were all sensors ' ed at lowest point of secondary containment and positioned so that other equipment will <br /> not interfere with their proper eration? <br /> ❑ Yes ❑ No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> 5 N/A operational? <br /> Yes ff No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br /> ❑ N/A monitoring system detects a leak, fi&to operate,or is electrically disconnected? If yes: which sensors initiate <br /> positive shut-down? (Check all that apply) 19 Sump/Trench Sensors; ❑Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks @W sensor failure/disconuection? JdYes.• ❑No. <br /> ❑ Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br /> 90 N/A mechanical overfill prevention valve is ' ed), is the overfill warning alarm visible and audible at the tank <br /> fill ins and 1 If so at what percent of tank capacity does the alarm tri er? % <br /> 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 Epkeement 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 /> ❑ Yes No* Was monito ' tem set- reviewedto s ?Attach set u reports,if applicable <br /> Yes ❑ No* Is all Ton ito ' ent o onal Per manitfimarrer's ifications? <br /> *In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments <br /> T � <br /> 1t- <br /> Page 2 of 03/01 <br />