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D. Results of Testing/Servicing <br />Software Version Installed: /,, `/ <br />t mmrl.ete the following checklist: <br />* In Section E below, describe now ana wnen rnese aeliciencaes mere or Will ue correcdeu. <br />• E. Comments: �.i247 T e k OkA 4=vp p4la k1 vz. - ' =; , r r `'a <br />w <br />0 <br />Page 2 of 3 <br />03/01 <br />❑ No* <br />Is the audible alarm operational? <br />Yes, <br />9s <br />❑ No* <br />Is the visual alarm operational? <br />0 s <br />❑ No* <br />Were all sensors visually inspected, functionally tested, and confirmed operational? <br />Yes <br />❑ No* <br />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 <br />❑ NQ!- <br />If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br />N/A <br />operational? <br />Yes <br />❑ No* <br />For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br />❑ N/A <br />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) ump/Trench Sensors; ispenser Containment Sensors. <br />Did you confirm positive shut -down due to leaks and sensor failure/disconnection? es; No. <br />❑ Yes <br />❑ No* <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br />OSA <br />mechanical overfill prevention_ valve is installed), is the overfill warning alarm visible and audible at the tank <br />fill point(s) and operating properly? If so, at what percent of tank capacity does the alarm trigger? % <br />❑ Yes* <br />UNo <br />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* <br />❑ No <br />Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) <br />GFP-ro—diict; EMater. 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 />❑ No* <br />Is all monitoring equipment operational per manufacturer's specifications? <br />* In Section E below, describe now ana wnen rnese aeliciencaes mere or Will ue correcdeu. <br />• E. Comments: �.i247 T e k OkA 4=vp p4la k1 vz. - ' =; , r r `'a <br />w <br />0 <br />Page 2 of 3 <br />03/01 <br />