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D. Results of Testing/Servicing REOPNr-D <br />fftt <br />Software Version Installed: <br />Com lets the followingchecklist: <br />® Yes <br />❑ No' <br />Is the audible alarm operational? r� t� n < i� ° ' <br />® Yes <br />❑ Ne <br />Is the visual alarm operational? <br />® Yes <br />❑ No' <br />Were all sensors visually Inspected, functionally tested, and confirmed operational? <br />® Yes <br />❑ No" <br />Were all sensors Installed at lowest pant of secondary containment and positioned so that other equipment will not Interfere with their proper <br />operation? <br />❑ Yes <br />❑ No- <br />If alarms are relayed to a remote monitoring station, is all communications equipment (e.g., modem) operational? <br />® N/A <br />❑ Yes <br />❑ No" <br />For pressurized piping systems, does the turbine automatically shut down If the piping secondary containment monitoring system detects a leak, <br />® NIA <br />fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut -down? (Check all that apply) ❑ Sump/Trench <br />Sensors; ❑ Dispenser Containment Sensors. <br />Did you confirm positive shut -down due to leaks an sensor fallure/disconnecdion? ❑ Yes; [:]No. <br />❑ Yes <br />❑ Ne <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e.. no mechanical overfill prevention valve is <br />® N/A <br />installed), is the overfill warning alarm visible and audible at the tank fill points) and operating properly? If so, at what percent of tank capacity <br />does the alarm trigger? % <br />❑ Yes <br />IN No <br />Was any monitoring equipment replaced? If yes, Identify specific sensors, profs, or other equipment replaced and list the manufacturer name <br />and model for all replacement parts in Section E, Flow. <br />❑Yes" <br />® No <br />Was liquid found inside any secondary containment systems designed as dry systems? (Check aR that apply) <br />❑ Product; ❑ Water. If yes, describe causes in Section E, below. <br />® Yes <br />❑ No' <br />Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, If applicable <br />Yes 1 <br />❑ Nd I <br />Is all monitoring equipment operational per manufacturer's specifications? <br />" In Section E below, describe how and when these deficiencies were or will be corrected. <br />E. comments: FLAPPER VALVE IN DROP TUBE <br />Monitoring System Certification Page 2 of 4 2/21/07 <br />LALT <br />