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0. Results of-Testing/Servicing <br /> Software Version Installed:_+ <br /> Complete the foliowin checklist: <br /> Yes ❑ No* I Is the audible alarm operational? <br /> Yes ❑ No* Is the visual alarm o rational? <br /> Q9 Yes ❑ No* Were all sensors visual!N,inspected,functionally tested,and confirmed operational? <br /> 18 Yes ❑ No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will <br /> not interfere with their ro er operation? <br /> ❑ Yes ❑ No* If alarms are relayed to a remote monitoring station, is all communications equipment ;(efg. modem) <br /> N/A operational?Yes ❑ No* For pressurized piping systems, does the turbine automatically shut down if the piping secondacontainment <br /> ❑ N/A monitoring system detects a leak, fails to operate,or is electrically disconnected? If yes: which sors initiate <br /> positive shut-down? (Check all that apply) A Sump/Trench Sensors; .,Dispenser Containment Sensors. <br /> Did You confirm Positive shut-down due to leaks and sensor failure/disconnection? A Yes; ❑No. <br /> ❑ Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br /> N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> fill int(s)and operating ro rl ? If so,at what Percent of tank capacity does the alarm trigger? % <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 replacement 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 monitorings stem set-up reviewed to ensure proper settings?Attach set up reports,if applicable <br /> Yes 1 ❑ No* Is all monitoring ui ment operational per manufacturer's specifications? <br /> *In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: <br /> Page 2 of 3 03/01 <br />