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esults of Testing/Servicing <br />are Version Installed: <br />i <br />plete the following checldist: - <br />-. <br />Yes ❑ No* <br />Is the audible alauu opci �lional'� <br />Yes O No* <br />Is the visual alarm operational? <br />Yes O No* <br />Were all sensors visually inspected, functionally tested, and confirmed operational? <br />dies O 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 />0 No* <br />If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br />® N/A <br />operational? <br />Yes ❑ No* <br />For pressurized pil,intr ,ystcnis, does the turbine automatically shut down if the piping secondary containment <br />O N/A <br />monitoring system detect"; a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate <br />(Check all that apply) /d Sump/Trench Sensors; ® Dispenser Containment Sensors. <br />positive shut-down? <br />Did you confinn po ;itive slnit-down due to leaks and sensor failure/disconnection? Yes; ® No. <br />yea ❑ No* <br />For tank systems that utilize the monitoring system as the primary tank twerfill warning device (i.e. no <br />. <br />❑ N/A <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? J_Q% <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 />*e' <br />" No <br />Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) <br />O Product; ❑ Water. If yes, describe causes, in Section E, below. <br />$e <br />❑ No* <br />Was monitoring system set-up reviewed to ensure proper settings?. Attach set up reports, if applicable <br />.. <br />❑ Iq®* <br />Is all monitoring equipment operational per manufacturer's specifications? <br />Ebn <br />E below, describe )low and wile" these deficiencies were or will be corrected. <br />