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D. Results of Testhig/Servicing A r <br /> Software Version Installed: <br /> Complete the following checklist: <br /> Ef Yes U No* Is the audible alarm operational? <br /> &f Yes 0 No Is the visual alarm operational? <br /> Yes 0 No* Were all sensors visually inspected, functionally tested,and confirmed operational? <br /> Yes L3 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 Q No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> R/N/A operational? <br /> • Yes —9—No* -For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br /> U 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) U Sump/Trench Sensors; U Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? U Yes; U No. <br /> Ll Yes U No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br /> 21-N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> fill point(s)and operating prop®r y? If so,at what percent of tank capacity does the alarm trigger? % <br /> U Yes* ULNo 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 /> U Yes No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply)-U <br /> Product; U Water. If yes,describe causes in Section E,below. <br /> Yes <br /> Lg�Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable <br /> M—Yes I U No* I Is all monitoring equipment 2perational per manufacturer's specifications? <br /> In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: maklo-R, /41 W-5 PJ,9 ,�k ADOGJLLL A— <br /> Page 2 of 3 03/01 <br />