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D. Results of Testing/Servicing <br /> ' <br /> Software Version Installed: / J r ) <br /> Complete the follo ng checklist: <br /> re ❑ No* Is the audible alarm o rational? <br /> ❑ No* Is the visual alarm o tional? <br /> ❑ No* Were all sensors visual) ins ted,functional) tested,and confirmed o rational? <br /> ❑ 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 o ration?❑ Dlo* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> �N/A operational? <br /> ❑ No* For prressurized_piping stems, does the turbin 'automatically shut down if the piping secondary containment <br /> ❑ N/A monitoring system detects a leak,fails to ope e,or is electrically disconnected? If y : which sensors initiate <br /> positive shut-down? (Check all that apply) Sump/Trench Sensors; ❑Dispensertainment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? Yes; ❑No. <br /> C3-Yes ❑ o* 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 /> 7 <br /> fill int(s)and operating ro rl ? If so,at what 2Ecent of tank capacity does the alarm trigger? % <br /> ❑ Yes* CVNo Was any monitoring equipment replaced? If yes,identify specific sensors,probes,or other equipment replaced <br /> and Iist 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)13Product; E3Water. If es,describe causes in Section E,below. <br /> es ❑ No* I Was monitorin system set-u2 reviewed to ensure 2Tper settings?Attach set up re22rts,if a2plicable <br /> Yes ❑ No* Is all monitorin ui ment operational, r 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 />