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Jul 31 03 11:O2a F # zen Hill 559881467 p.5 <br />' e <br />D. Results of Testing/Servicing <br />Sof^,vare Version Installed: % E -- <br />K <br />Cnm tete <br />the followink <br />checklist: <br />Is the audib'e alarm ooerationai'' <br />Is the visual alarm operational? <br />�b'ere all sensors visually ins ected, f'uncticnall: tested, and conferred oaerationa':'? <br />S. `'es <br />O N0 <br />I Yes <br />❑Ira* <br />'S. Yes ( <br />Q No* <br />U, 1'es <br />❑ No* <br />�z: ere ail sensors installed at two. -est pcint of secondary contairu'neat and positioned so that other equipment will <br />fa Yes <br />❑ `o* <br />not interfere .vith their proper o eration? <br />If alarntc are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br />❑ N!r1 <br />operational? <br />For piping systems, dces the turbine automatically shut down if the piping secondary containment <br />®No* <br />Yes <br />13 N/A <br />pressurized <br />monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate <br />shut -down? (Check all that apph') I_Sumpi7rench Sensors; ® Dispenser Containment Sensors. <br />positive <br />Did confirm positive shut -down due to leaks and sensor failure/disconnection? ,EJ�Yes; ❑ No. <br />{ <br />you <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br />waming alarm visible and audible at the tank <br />Cl Yes <br />C3 No* <br />if <br />-a N.,A <br />mechanical overfill prevention valve is insta',led), is the overfill <br />l <br />` <br />o crating to erly? If so, at what ercent of tank ca ace does the alarm trie er? % <br />fill point(s) and <br />Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced <br />O Yes* <br />IB- No <br />and list the manufacturer name and model for all re lacement arts in Section E, below. <br />Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) <br />$-Yes* <br />®No <br />Product; JU Water. If yes, describe causes in Section E, below. <br />Yes <br />C1 No* <br />Was monitoring• system set -u reviewed to ensure ro er settin s? Attach set u reports, if a licable <br />Yes <br />❑ No" <br />Is all monitoringequipment operational per manufacturer's s ecifications? <br />will ho corrected. <br />* In Section E below, deserioe now ana ,rjteu .,,1.s. —1— ------- - <br />E. Comments: <br />l � j `Nal % �!l•(C�c7A.,h f-�, �'�/t/a p� - <br />Page 2 of 3 03101 <br />