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D. Results of Testing/Servicing <br /> Software Version Installed: y% VD <br /> 1 <br /> Coinplete the follo ing checklist: <br /> Yes ❑ No* Is the audible alarm operational? <br /> Yes ❑ No* Is the visual alarm operational? <br /> Yes ❑ No* Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> CJ Yes ❑ No* 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 ❑ o* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> N/A operational? <br /> Ed Yes ❑ No* For pressurized piping systems,does the turbine utomatically shut down if the piping sec ndary containment <br /> ❑ N/A monitoring system detects a leak, fails to oper. or is electrically disconnected? If yes: hick sensors initiate <br /> positive shut down? (Check all that apply) Sump/Trench Sensors; ❑Dispenser C tainment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? Yes; ❑No. <br /> ❑ Yes ❑ o* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br /> Ed N/A 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* Efy <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 re lacement parts in Section E,below. <br /> ❑ Yes* No 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 /> El es ❑ No* Was monitoring system set-up reviewed to ensure proper settings?Attach set up re22rts,if applicable <br /> 23 Yes ❑ No* I Is all monitoring ui mentoperational per manufacturer's.! ecifications? <br /> *In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: <br /> Page 2 of 3 03101 <br />