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D. Results of Testing/Servicing <br />00. <br />Software Version Installed; r <br />11 <br />CrVYe <br />the followin <br />checklist: <br />❑ No* <br />Is the audible alarm operational? <br />❑ No* <br />Is the visual alarm o erational? <br />Were all sensors visual) ins ected, functional) tested, and confirmed o erational? <br />❑ No* <br />❑ No* <br />Were all sensors installed at lowest point of secondary containmenf and positioned so that other equipment will <br />not interfere with their proper operation? <br />If are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br />❑ Yes <br />❑ No* <br />alarms <br />Jq N/A <br />operational? <br />For piping systems, does the turbine automatically shut down if the piping secondary containment <br />❑ No* <br />Yes <br />pressurized <br />system detects a leak, fails to operate, or is electrically discRRnnected? If yes: which sensors initiate <br />❑ N/A <br />monitoring <br />positive shut -down? (Check all that apply) Sump/Trench Sensors; Dispenser Containment Sensors. <br />❑ No. <br />Did confirm positive shut -down due to leaks and sensor failure/disconnection? Yes; <br />Yes <br />❑ No* <br />you <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br />alarm visible and audible at the tank <br />❑ N/A <br />mechanical overfill prevention valve is installed), is the overfill warning <br />properly? If so, at whatpercent of tank ca act does the alarm tripler? <br />No <br />1, point s and o eraflng <br />Was any monitoring equipment replaced? If yes, identify specific sensors, probes,, or other equipment replaced <br />O Yes* <br />and list the manufacturer name and model for all re lacement arts in Section E, beow. <br />Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) ❑ <br />® Yes* <br />No <br />Product; ❑Water. If es, describe causes, in Section E, below. <br />set -u reviewed to ensure ro er settin s? Attach set u re orts, if alicable <br />No* <br />Was monitorin s stem <br />Is all monitoringequipment oerational ver manufacturer's s ecifications? <br />�Yes❑ <br />❑ No* <br />a 41 ,:o.,, ;o. warp nr will he corrected. <br />* In Section E below, describe bow and when LnG3c UeLAMaa. aw . <br />E. Comments: <br />Page 2 of 3 03/01 <br />