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,, a <br />D. Results of Testing/Servicing <br />Software Version Installed: <br />V—1.f. fha rnllnavlaeo A—A,HO- <br />❑ Yes <br />❑ No* <br />Is the audible alarm operational? <br />❑ Yes <br />❑ No* <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 point of secondary containment and positioned so that other equipment will <br />not interfere with their )ro)cr o per;ation? <br />C3Yes <br />U No* <br />If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br />U N/A <br />operational'? <br />❑ Yes <br />U No* <br />For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br />U N/A <br />monitoring system detects a Irak, fails to operate, or is electrically disconnected? If yes: which sensors initiate <br />positive shut -down? (Cheek all that apply) ❑ Sunrp/1'rench Sensors; ❑ Dispenser Containment Sensors. <br />Did you confirm positive shut -down due to leaks and sensor failure/disconnection? ❑ Yes; ❑ No. <br />O Yes <br />❑ No* <br />For tank systems that ritilizc the monitoring system as the primary tank overfill warning device (i.e. no <br />U N/A <br />mechanical overfill prevention valve is installed), is tile overfill warning al:unr visible and audible at the tank <br />fill poinl(s) and o )eratin g no peri ? If so, at what percent of tank capacity does the alarm tri =er? % <br />❑ Yes* <br />❑ No <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 />Product; ❑ Water. If yes, describe causes in Section E, below. <br />❑ Yes <br />❑ No* <br />Was monitoring system set -u) reviewed to ensure proper settings? Attach set up reports, if applicable <br />❑ Yes <br />❑ No* <br />Is all monitoring equipment o)erational )er manufacturer's specifications? <br />* In Section E below, describe how and when lhese deficiencies were or will be corrected. <br />E. Comments: <br />Page 2 of 3 03/01 <br />