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D. Results of Testing/Servicing <br />Software Version Installed: <br />Com tete the foliowin checklist: <br />(Yes <br />❑ No* <br />Is the audible alarm operational? <br />( -})des <br />❑ No* <br />Is the visual alarm operational? <br />(_'es <br />❑ No* <br />Were all sensors visually inspected, functionally tested, and confirmed o . erational? <br />(i es <br />❑ No* <br />Were all sensors installed at lowest point of secondary containment and positioned so that other equipment wil l <br />not interfere with their proper operation? <br />( ) Yes <br />( ) No* <br />If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br />(. /A <br />operational? <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) C Sump/Trench Sensors; d" Dispenser Containment Sensors. <br />Did you confirm positive shut -down due to leaks and sensor failure/disconnection? La -Yes ; ❑ No. <br />( ) Y0s <br />() No* <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device <br />0 ---.N/A <br />(i.e. no <br />mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br />fillpoint(s) and operating properly? If so, at what percent of tank capacity does the alarm trigger? % <br />( ) Yes* <br />j ,Y o <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).Q' <br />Product; L,- Water. If yes, describe causes in Section E, below. <br />(%ryes <br />❑ No* <br />Was monitoring system set-up reviewed to ensure proper settings? Attach set up re orts, if applicable <br />Wes <br />* 7.. C__a___ <br />❑ No* <br />- <br />Is all monitoring equipment oerational per manufacturer's specifications? <br />in occtwu r, below, aescrioe now and when these deficiencies were or will be corrected. <br />E. Comments: <br />Page 2 of 3 03/01 <br />