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• <br /> T <br /> A Resuk;3 of <br /> Soffivare Version Installed: 3 .0c) <br /> '-Complete the following checklist: <br /> Yes Ll No* Is the an---,----- -nerational? <br /> a-Yes ❑ No* is the v;--.-,alarm <br /> operational? <br /> @-Yes U No* Were all sensors visually inspected, functionally tested,and confirmed oVerational? <br /> W-Yes Q No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will <br /> not interferewiththeir proper o2eration? <br /> j <br /> U Yes U No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> a N/A operational? <br /> secondary <br /> ent <br /> U Yes U No For pressurized piping systems, does the turbine automatically shut down if the piping secondary contairiment <br /> U N/A monitoring system detects a leak, fails to operate, or is electrically disconnected? If y es:which sensors initiate <br /> Positive shut-down? (Check all that apply) Q Sump/Trench Sensors; U Dispenser Containment Sensors. <br /> Did you confirm­ Positive shut-down due to leaks and sensor failure/disconnection? UYes; U No. <br /> L] Yes U No* For tank systems that utilize the monitoring system as the primary tank overfill warning device--(i.e. no <br /> U N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at <br /> ICIA-Pa fill 0* t(s)and operating n-- the tank <br /> does the alarm tri er? % <br /> U Yes* M No Was any monitoring equipment replaced? 11 Yes,identify specific sensors,probes,or other equipment replaced <br /> at what e <br /> .e <br /> m <br /> 0 <br /> specific <br /> overfill <br /> fh <br /> t <br /> e <br /> e <br /> Ip <br /> w <br /> c- <br /> ca <br /> sensors,a <br /> g a' <br /> overfill <br /> visible <br /> sib' <br /> warn g <br /> d au <br /> as rfi rim aci does <br /> the alarm i e <br /> ns pr s <br /> fi <br /> ors' obe or 0 er equipment <br /> primary <br /> in <br /> tank d <br /> 7 dib <br /> an in e <br /> audible <br /> e e no <br /> 'k <br /> device <br /> 'i <br /> a''h <br /> in tr <br /> th ipment replace <br /> in I n low. <br /> and list the manufacturer name and model for all re lacemenpt artsinE be <br /> as ry 9 p <br /> P/ <br /> y <br /> gn d L3 <br /> sig <br /> 13 Yes* No Was liquid found inside any secondary containment systems de ned as dry systems? (Check all that apply) U <br /> Product; U Water. If ves,describe causes in Section E below. <br /> Was monitorin <br /> in <br /> a . a u ';cable I <br /> 91 Yes U No* system set-up reviewed to ensure proper settings?Attach set re orts,if a ';--able <br /> ®-Yes LJ No* Is all monitoring eguip manufacturer's <br /> s s ifi ti 9 <br /> ar s specifications? <br /> 11 h. <br /> In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: <br /> Page 2 of 3 <br /> 03/01 <br />