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D. Results of Testing/Servicing <br />Software Version Installed: -70 <br />Co%plete the following checklist: <br />s <br />❑ No* <br />Is the audible alarm operational? <br />s, <br />❑ No* <br />Is the visual alarm operational? <br />s <br />❑ 'No* <br />Were all sensors visually inspected, fimetionally tested, and confirmed operational? <br />Ef 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 />❑ No* <br />If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br />U -14/A <br />operational? <br />EY 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? jf yes: which sensors initiate <br />positive shut -down? (Check all that apply) 0-9p Trench Sensors; UDispenser Containment Sensors. <br />Did you confirm positive shut -down due to leaks and sensor failure/disconnection? (`Yes; ❑ 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 />❑- 6� <br />mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br />fillpoint(s) and operating ro erl ? If so, at what percent of tank capacity does the alarm trigger? % <br />❑ Yes* <br />❑o _. <br />Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced <br />._ <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 />❑Y Yes• " <br />❑ No* <br />Was monitorin system set-up reviewed to ensure proper settings? Attach set up reports, if applicable <br />❑' Yes <br />❑ No* <br />Is all M2g!j2j!gg a ui ment o erational per manufacturer's specifications? <br />* In Section E below, describe how and when these deficiencies were or will be corrected. <br />E. Comments: <br />M <br />Page 2 of 3 03/01 <br />