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11 <br />D. Results of Testingroarvicling <br />Software Version Installed: <br />Comqjeft the fonowing checkillst; <br />Mmam <br />0 Yes <br />0 W <br />Is the audible alarm <br />go Yes <br />13 W <br />is the visual alarm operational? - MVIENT <br />Yes <br />0 W <br />Were an sensors visually Inspected. functionally tested. and confitmed operational? <br />Yes <br />E3 No* <br />Were all sensors Installed at lowest point of *=ndery oontsinmeM and positioned so that other equipment will not lrrortm with their proper <br />E3 Yes <br />E3 W <br />If alarms are relayed to a femots monitoring station, Is all communications equipment (e.g., Modern) Operational? <br />0 WA <br />0 Yes <br />I <br />0 W <br />For pressurlmd piping system, does the Us Wne a shut down V the piping seeondary Oontaliurient riionitoring system detects a leak, <br />fais to operate, or is e**tmgy disconnected? If yes- which sensors IrMats positive shut -down? (Check ag MW spipW 0 SumplTrench <br />19 WA <br />Sensors; [3 Dispenser Containment Sensors. <br />Did you confirm positive shutdown due to leaks " sensor laikirakibconnecition? E3 Yes; 0 No. <br />❑ Yes <br />13 W <br />For tanks && uWbm ft monitering system at the primary tank ovwM warning device (La., no machanknall overfill prieveridion vat" Is <br />WA <br />instelledl is the overfill %W" elarm visible and audible at the tank fill point(s) and operating properly? if so, at what percent of tank capacity <br />I does the alarm trigger? % <br />❑ Yes <br />19 <br />Was any monitoring equipment replaced? If yes, Identify specific sensors probes. or OVW equipment MpWW and Not the manufticturer nam <br />and model for all foplacement parts in Section I, below. <br />OYee <br />19 No <br />Was Hicitilditund holde any selzindarycontainment system designed as dry system'7 (Check all dot APPW <br />OlRrtiduct OWsw- lyes. disseft causes In Section E, below. <br />0 yes <br />N <br />❑ W <br />Was intirdtoft system set-up reviewed to enwre proper sattirgs? Attach set up reptift If applicable <br />LO Yes <br />0 No' <br />Is all morilloft equipmerit operational per reenufacturees W --M-00-? <br />® In $Winn E bekw4 dissairlbe how and when these de ftolencles were or will be coffected. <br />Monmring system ceruftistiori Page 2 of 4 2/21/07 <br />